[Federal Register Volume 71, Number 236 (Friday, December 8, 2006)]
[Rules and Regulations]
[Pages 71062-71072]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 06-9550]


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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-CN
RIN 0938-AN84


Medicare Program; Revisions to Payment Policies, Five-Year Review 
of Work Relative Value Units, and Changes to the Practice Expense 
Methodology Under the Physician Fee Schedule, and Other Changes to 
Payment Under Part B; Corrections

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

ACTION: Correction.

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SUMMARY: This correction document corrects a limited number of 
technical and typographical errors in the final rule with comment 
period that appeared in the December 1, 2006 Federal Register (71 FR 
69624). The final rule with comment period addressed Medicare Part B 
payment policy, including the physician fee schedule (PFS) that is 
applicable for calendar year (CY) 2007, finalized the CY 2006 interim 
relative value units (RVUs), and established interim RVUs for new and 
revised procedure codes for CY 2007.

EFFECTIVE DATE: This correction notice is effective January 1, 2007.

FOR FURTHER INFORMATION CONTACT: Diane Milstead, (410) 786-3355.

SUPPLEMENTARY INFORMATION:

I. Background

    In FR Doc. 06-9086 (71 FR 69624), the final rule with comment 
period entitled ``Medicare Program; Revisions to Payment Policies, 
Five-Year Review of Work Relative Value Units, and 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; Ambulance Inflation Factor Update for CY 2007'' (hereinafter 
referred to as the CY 2007 final rule with comment period), there were 
technical and typographical errors that are identified and corrected in 
this correction notice. The provisions of this correction notice are 
effective January 1, 2007.

II. Summary of Errors

A. Preamble

    In the preamble of the CY 2007 final rule with comment period, 
there were a number of technical errors and omissions.
    On page 69634, in step 8 of the Practice Expense (PE) methodology 
calculation, we erroneously stated in the parenthetical note that 
unadjusted work RVUs are used to calculate the service level allocators 
for indirect practice expenses (PEs) in this final rule.
    On pages 69636 and 69637, in Table 1, ``Calculation of PE RVUs 
under Methodology For Selected Codes'', we found numerous errors that 
include amounts and row headings.
    On page 69640, under the discussion titled, ``(4) Indirect PE RVUs 
Methodology'' in the last sentence of the first response concerning the 
use of budget-neutralized work RVUs, we erroneously stated that we did 
not use the budget-neutralized work RVUs to calculate indirect PE.
    On page 69646, clarifying language was inadvertently omitted from 
the response.
    On page 69654, in Table 6, ``Practice Expense Equipment Item 
Additions for CY 2007'', one of the equipment items is misspelled.
    On page 69692, the word ``a'' was inadvertently omitted from a 
response.
    On page 69694, the word ``receiving'' was erroneously omitted from 
a response.
    On pages 69741 through 69743, in Table 15, ``AMA RUC and HCPAC 
recommendations and CMS' Decisions for New and Revised 2007 CPT 
Codes,'' the title of the last column ``2006 work RVUs'' is incorrect.
    On page 69744, in Table 16, ``AMA RUC Anesthesia Recommendations 
and CMS Decisions for New and Revised CPT codes'', the RUC-recommended 
base value for CPT code 00626 is incorrect.
    On page 69744, under section E. ``Discussion of Codes for Which 
There Were No RUC recommendations or For Which the RUC Recommendations 
Were Not Accepted'', we inadvertently omitted the discussion related to 
CPT code 15830.
    On page 69747, we incorrectly stated that pricing information for 
an item was not provided.
    On page 69760, in section B ``Anesthesia Fee Schedule Conversion 
Factor,'' the discussion concerning the adjustment factor in Table 32 
did not address all the included adjustments. In addition, Table 32 did 
not reflect the additional adjustment.
    On page 69768, in Table 35, a footnote was inadvertently omitted.
    On page 69770, in Table 36, a footnote was inadvertently omitted.
    These corrections are reflected in section III.A. of this 
correction notice.

B. Addenda

    The following errors in Addenda B and C are revised under this 
correction notice. These addenda will not appear in the Code of Federal 
Regulations.
    In Addendum B, pages 69796 through 70011, we are making the 
following corrections:
    (1) An indicator ``+'' denoting that the published RVUs are not 
used was omitted from the following Physicians' Current Procedural 
Terminology (CPT) or alphanumeric Healthcare Procedure Coding System 
(HCPCS) codes:
     11000: 11975, 11977;
     15000: 15850;
     37000: 37216;
     38000: 38204, 38207, 38208, 38209, 38210, 38211, 38212, 
38213, 38214, 38215;
     43000: 43842;
     58000: 58300;
     61000: 61630, 61635, 61640, 61641, 61642;
     72000: 72159, 72159-TC, 72159-26;
     73000: 73225, 73225-TC, 73225-26;
     76000: 76390, 76390-TC, 76390-26;
     78000: 78350, 78350-TC, 78350-26, 78351, 78890, 78890-TC, 
78890-26, 78891, 78891-TC, 78891-26;
     90000: 90875, 90876, 90885, 90887, 90918, 90919, 90920, 
90921, 90922, 90923, 90924, 90925;

[[Page 71063]]

     92000: 92015, 92310, 92314, 92340, 92341, 92342, 92352, 
92353, 92354, 92355, 92358, 92370, 92371, 92551;
     93000: 93668, 93740, 93740-TC, 93740-26, 93770, 93770-TC, 
93770-26;
     94000: 94005, 94150, 94150-TC, 94150-26;
     96000: 96040, 96155, 96902;
     97000: 97010, 97014, 97810, 97811, 97813, 97814;
     98000: 98943, 98960, 98961, 98962;
     99000: 99091, 99173, 99339, 99340, 99358, 99359, 99360, 
99363, 99364, 99374, 99375, 99377, 99378, 99379, 99380, 99381, 99382, 
99383, 99384, 99385, 99386, 99387, 99391, 99392, 99393, 99394, 99395, 
99396, 99397, 99401, 99402, 99403, 99404, 99411, 99412, 99420;
     G codes: G0122, G0122-TC, G0122-26, G0252-26, G0337.
    (2) Incorrect RVUs were listed for the following CPT codes: 38207, 
38210, 38211, 38212, 38213, 38214, and 38215.
    (3) Incorrect practice expense RVUs were listed for the following 
CPT and HCPCS codes: 73223, 73323-TC, 76775, 76775-TC, 76775-26, 95060, 
95065, G0389, G0389-TC, G0389-26, G0392, and G0393.
    (4) Incorrect status indicators and RVUs were listed for CPT codes 
93235, 93624, and 93624-TC.
    In Addendum C, page 70015, an indicator ``+'' denoting that the 
published RVUs are not used was omitted from the following Physicians' 
Current Procedural Terminology (CPT) or alphanumeric Healthcare 
Procedure Coding System (HCPCS) codes:
     90000: 94005, 96040, 99363, and 99364.
    These corrections are reflected in section III.B. of this 
correction notice.

III. Correction of Errors

A. Correction of Errors in the Preamble

    1. On page 69634, in the 2nd column, in the 8th full paragraph, 
lines 11 through 13, in step 8 of the PE methodology calculation, the 
sentence ``In this final rule, unadjusted work RVUs are used'' is 
removed.
    2. On pages 69636 through 69637, in Table 1: Calculation of PE RVUs 
under Methodology for Selected Codes, the table is corrected to read as 
follows:
BILLING CODE 4120-01-P

[[Page 71064]]

[GRAPHIC] [TIFF OMITTED] TR08DE06.002


[[Page 71065]]


[GRAPHIC] [TIFF OMITTED] TR08DE06.003

BILLING CODE 4120-01-C

[[Page 71066]]

    3. On page 69640, in the 2nd column, the 1st full paragraph, the 
response beginning with the phrase ``As discussed in section III.D.3. 
of this final rule with comment period * * *'' and ending with the 
phrase ``* * * budget-neutralized work RVUs to calculate indirect PE'' 
is corrected to read as follows:
    ``As discussed elsewhere in this rule, we do not believe it would 
be appropriate to allow the increases in work RVUs for certain services 
as a result of the 5-Year Review to reduce aggregate payments for PEs 
and professional liability under the Medicare PFS. Our final policy to 
use the budget-neutralized work RVUs in the calculation of indirect PEs 
appropriately maintains the current relationships between the work, PE, 
and professional liability (malpractice insurance expense) components 
of the PFS. We also believe it is important to apply the revised, 
budget-neutralized work RVUs consistently within the PFS framework. It 
would not be consistent to apply one set of work RVUs for work 
payments, but a different set for purposes of calculating indirect PEs. 
Therefore, we will base the calculation of both the work payments and 
the indirect PEs on the revised, budget-neutralized work RVUs adopted 
as part of this final rule, and maintain the overall current 
relationships between work, PE, and professional liability. The PE RVUs 
in Addendum B and throughout the rest of this rule reflect this 
policy.''
    4. On page 69646, in the 2nd column, the 4th full paragraph, the 
response ``We will implement these changes for CY 2007'' is corrected 
to read as follows: ``We are implementing these changes for CY 2007. 
Because we are implementing the bottom-up methodology, which utilizes 
the direct inputs to determine the PE RVUs for CY 2007, a separate 
payment for the contrast media used in various imaging procedures will 
be available. In addition to the CPT code representing the imaging 
procedure, providers are instructed to use the appropriate HCPCS Q-
code, Q9942 through Q9964, to separately bill for the contrast medium 
utilized in performing the service.''
    5. On page 69654, in Table 6, Practice Expense Equipment Item 
Additions for CY 2007, column 2, line 16, the word ``Acerine'' is 
corrected to read ``Aerocrine.''
    6. On page 69692, in the 3rd column, 1st paragraph, line 10, the 
phrase ``verified in large trial'' is corrected to read as ``verified 
in a large trial.''
    7. On page 69694, in the 3rd column, 3rd paragraph, lines 8 through 
9, the phrase ``may also be FDA-approved'' is corrected to read ``may 
also be receiving FDA-approved.''
    8. On pages 69741 through 69743, in Table 15, ``AMA RUC and HCPAC 
recommendations and CMS'' Decisions for New and Revised 2007 CPT 
Codes'', last column, the column heading, ``2006 work RVU'' is 
corrected to read ``2007 work RVU''.
    9. On page 69744, in Table 16: AMA RUC Anesthesia Recommendations 
and CMS Decisions for New and Revised CPT Codes, column 3 (RUC-
recommendation), line 2 (CPT code 00626), the value ``13.00'' is 
corrected to read ``15.00.''
    10. On page 69744, in the 1st column, after the 2nd full paragraph 
following the table, after the sentence ``This summary refers only to 
work RVUs'' and before the sentence beginning ``For CPT code 22857 * * 
* '' the following paragraph is added to read as follows:
    ``For CPT code 15830, Excision, excessive skin and subcutaneous 
tissue (includes lipectomy); abdomen, infraumbilical panniculectomy, 
the RUC recommended 15.60 work RVUs. We reviewed the summary of 
recommendations for an add-on procedure to CPT code 15830, CPT code 
15847, Excision, excessive skin and subcutaneous tissue (includes 
lipectomy); abdomen (eg, abdominoplasty) (includes umbilical 
transposition and fascial pilcation (List separately in addition to 
code for primary procedure), in which the RUC and the specialty society 
recommended that this code be carrier-priced to reduce the potential 
for abuse. In order to reduce the potential for abuse, we believe that, 
payment for CPT code 15830 should be similarly restricted and medical 
necessity should be established prior to payment. Therefore, we have 
assigned a status indicator of ``R'' (Restricted) to this code.''
    11. On page 69747, in the 3rd column, 1st paragraph, lines 2 
through 5, the sentence ``We were not able to include a price for the 
pedigree software equipment as it was not provided with the PE inputs'' 
is corrected to read as ``We included a price of $950 for the pedigree 
software desktop version as the typical equipment used in a physician 
office.''
    12. On page 69760,
    a. In the 3rd column, 1st full paragraph, lines 10 through 12, the 
sentence ``The adjustment factor in Table 32 includes the combined 
effect of the PE adjustment and the BN adjustment'' is corrected to 
read ``The adjustment factor in Table 32 includes the combined effect 
of the PE adjustment, the BN adjustment and the adjustment to 
anesthesia work to account for the increase in the work of the E/M 
codes.''
    b. In the 3rd column, Table 32 is corrected as follows:

                                Table 32
------------------------------------------------------------------------
 
------------------------------------------------------------------------
2006 Anesthesia Conversion Factor........  $17.7663
2007 Update..............................  -5.0 percent
                                           (0.94953)
2007 Combined Adjustment PE and BN.......  0.9110
2007 Anesthesia Conversion Factor........  $15.3682
------------------------------------------------------------------------

    13. On page 69768, Table 35 is corrected by adding a footnote to 
read as follows:
    ``**Components may not sum due to rounding error.''
    14. On page 69770, Table 36 is corrected by adding a footnote to 
read as follows:
    ``Note: When applying the 0.8994 work adjuster to the work relative 
values printed in Addendum B, you must round the product to two decimal 
places.''

B. Addenda

    1. On pages 69796 through 70011, in Addendum B: Relative Value 
Units (RVUs) And Related Information the following entries are 
corrected to read as follows:

[[Page 71067]]



                                                          Addendum B.--Relative Value Units (RVUs) and Related Information--Corrections
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                    Fully                                                              Fully
                                                      Physician  implemented    Year 2007      Fully       Year 2007                implemented    Year 2007      Fully       Year 2007
  CPT \1\/       Mod      Status       Description    work RVUs      non-     transitional  implemented  transitional  Malpractice      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
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
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.
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.
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.
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.
38204.......  ........  B           Bl donor search       2.00+        0.91          0.91         0.91          0.91         0.06         2.97          2.97         2.97          2.97   XXX
                                     management.
38207.......  ........  I           Cryopreserve          0.89+        0.41          0.41         0.41          0.41         0.01         1.31          1.31         1.31          1.31   XXX
                                     stem cells.
38208.......  ........  I           Thaw preserved        0.56+        0.25          0.25         0.25          0.25         0.02         0.83          0.83         0.83          0.83   XXX
                                     stem cells.
38209.......  ........  I           Wash harvest          0.24+        0.11          0.11         0.11          0.11         0.01         0.36          0.36         0.36          0.36   XXX
                                     stem cells.
38210.......  ........  I           T-cell depletion      1.57+        0.72          0.72         0.72          0.72         0.03         2.32          2.32         2.32          2.32   XXX
                                     of harvest.
38211.......  ........  I           Tumor cell            1.42+        0.65          0.65         0.65          0.65         0.02         2.09          2.09         2.09          2.09   XXX
                                     deplete of
                                     harvst.
38212.......  ........  I           Rbc depletion of      0.94+        0.43          0.43         0.43          0.43         0.02         1.39          1.39         1.39          1.39   XXX
                                     harvest.
38213.......  ........  I           Platelet deplete      0.24+        0.11          0.11         0.11          0.11         0.01         0.36          0.36         0.36          0.36   XXX
                                     of harvest.
38214.......  ........  I           Volume deplete        0.81+        0.37          0.37         0.37          0.37         0.01         1.19          1.19         1.19          1.19   XXX
                                     of harvest.
38215.......  ........  I           Harvest stem          0.94+        0.43          0.43         0.43          0.43         0.02         1.39          1.39         1.39          1.39   XXX
                                     cell concentrte.
43842.......  ........  N           V-band               20.90+          NA            NA         6.75          7.53         2.45           NA            NA        30.10         30.88   090
                                     gastroplasty.
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.
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.
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.
73223.......  ........  A           Mri joint upr          2.15       16.74         23.38           NA            NA         0.94        19.83         26.47           NA            NA   XXX
                                     extr w/o&w/dye.
73223.......  26......  A           Mri joint upr          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.
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.
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
76775.......  ........  A           Us exam abdo           0.58        2.23          1.77           NA            NA         0.11         2.92          2.46           NA            NA   XXX
                                     back wall, lim.
76775.......  TC......  A           Us exam abdo           0.00        2.06          1.58           NA            NA         0.08         2.14          1.66           NA            NA   XXX
                                     back wall, lim.
76775.......  26......  A           Us exam abdo           0.58        0.17          0.19         0.17          0.19         0.03         0.78          0.80         0.78          0.80   XXX
                                     back wall, lim.
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.
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.
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.
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.
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.

[[Page 71068]]

 
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.
92015.......  ........  N           Refraction......      0.38+        0.10          1.14         0.09          0.14         0.01         0.49          1.53         0.48          0.53   XXX
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.
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.
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.
92551.......  ........  N           Pure tone             0.00+        0.25          0.25           NA            NA         0.01         0.26          0.26           NA            NA   XXX
                                     hearing test,
                                     air.
93235.......  ........  C           ECG monitor/           0.00        0.00          0.00           NA            NA         0.00         0.00          0.00           NA            NA   XXX
                                     report, 24 hrs.
93624.......  ........  C           Electrophysiolog       0.00        0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00          0.00   000
                                     ic evaluation.
93624.......  TC......  C           Electrophysiolog       0.00        0.00          0.00         0.00          0.00         0.00         0.00          0.00         0.00          0.00   000
                                     ic evaluation.
93668.......  ........  N           Peripheral            0.00+        0.40          0.40           NA            NA         0.01         0.41          0.41           NA            NA   XXX
                                     vascular rehab.
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.
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.
94005.......  ........  B           Home vent mgmt        1.50+        0.69          0.69           NA            NA         0.06         2.25          2.25           NA            NA   XXX
                                     supervision.
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.
95060.......  ........  A           Eye allergy            0.00        0.72          0.44         0.72          0.44         0.02         0.74          0.46         0.74          0.46   XXX
                                     tests.
95065.......  ........  A           Nose allergy           0.00        0.65          0.31         0.65          0.31         0.01         0.66          0.32         0.66          0.32   XXX
                                     test.
96040.......  ........  B           Genetic               0.00+        0.97          0.97           NA            NA         0.01         0.98          0.98           NA            NA   XXX
                                     counseling, 30
                                     min.
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.
96902.......  ........  B           Trichogram......      0.41+        0.11          0.16         0.10          0.15         0.01         0.53          0.58         0.52          0.57   XXX
97010.......  ........  B           Hot or cold           0.06+        0.07          0.06           NA            NA         0.01         0.14          0.13           NA            NA   XXX
                                     packs therapy.
97014.......  ........  I           Electric              0.18+        0.18          0.19           NA            NA         0.01         0.37          0.38           NA            NA   XXX
                                     stimulation
                                     therapy.
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.
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.
99091.......  ........  B           Collect/review        1.10+        0.25          0.25           NA            NA         0.04         1.39          1.39           NA            NA   XXX
                                     data from pt.
99173.......  ........  N           Visual acuity         0.00+        0.06          0.06           NA            NA         0.01         0.07          0.07           NA            NA   XXX
                                     screen.
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.
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.
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.
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.

[[Page 71069]]

 
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.
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.
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.
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.
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.
G0389.......  ........  A           Ultrasound exam        0.58        2.23          1.77           NA            NA         0.11         2.92          2.46           NA            NA   XXX
                                     AAA screen.
G0389.......  TC......  A           Ultrasound exam        0.00        2.06          1.58           NA            NA         0.08         2.14          1.66           NA            NA   XXX
                                     AAA screen.
G0389.......  26......  A           Ultrasound exam        0.58        0.17          0.19         0.17          0.19         0.03         0.78          0.80         0.78          0.80   XXX
                                     AAA screen.
G0392.......  ........  A           AV fistula or          9.48       47.48         53.95         3.25          3.48         0.62        57.58         64.05        13.35         13.58   000
                                     graft arterial.
G0393.......  ........  A           AV fistula or          6.03       35.61         42.45         1.97          2.26         0.34        41.98         48.82         8.34          8.63   000
                                     graft venous.
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
\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 71070]]


0
2. On page 70015, in Addendum C: Codes with Interim RVUs the following 
entries are corrected to read as follows:

[[Page 71071]]



                                                                       Addendum C.-- Codes With Interim RVUs--Corrections
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                 Fully                                                              Fully
                                                   Physician  implemented    Year 2007      Fully       Year 2007                implemented    Year 2007      Fully       Year 2007
  CPT \1\/     Mod      Status      Description       work        non-     transitional  implemented  transitional  Malpractice      non-     transitional  implemented  transitional    Global
 HCPCS \2\                                          RVUs\3\   facility PE  non-facility  facility PE   facility PE      RVUs       facility   non-facility    facility     facility
                                                                  RVUs        PE RVUs        RVUs         RVUs                      total         total        total         total
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
94005......  .......  B           Home vent mgmt       1.50+        0.69          0.69           NA            NA         0.06         2.25          2.25           NA            NA         XXX
                                   supervision.
96040......  .......  B           Genetic              0.00+        0.97          0.97           NA            NA         0.01         0.98          0.98           NA            NA         XXX
                                   counseling, 30
                                   min.
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 71072]]

IV. Waiver of Proposed Rulemaking and Delay in Effective Date

    We ordinarily publish a notice of proposed rulemaking in the 
Federal Register to provide a period for public comment before the 
provisions of a rule take effect in accordance with section 553(b) of 
the Administrative Procedure Act (APA) (5 U.S.C. 553(b)). However, we 
can waive the notice and comment procedures if the Secretary finds, for 
good cause, that the notice and comment process is impracticable, 
unnecessary or contrary to the public interest, and incorporates a 
statement of the finding and the reasons therefore in the rule.
    Section 553(d) for the APA ordinarily requires a 30-day delay in 
effective date of final rules after the date of their publication. This 
30-day delay in effective date can be waived, however, if an agency 
finds for good cause that the delay is impracticable, unnecessary, or 
contrary to the public interest, and the agency incorporates a 
statement of the findings and its reasons in the rule issued.
    This correction notice addresses technical errors and omissions 
made in FR Doc. 06-9086, entitled ``Medicare Program; Revisions to 
Payment Policies, Five-Year Review of Work Relative Value Units, and 
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; Ambulance Inflation Factor Update for CY 2007,'' 
which appeared in the December 1, 2006 Federal Register (71 FR 69624), 
and is effective January 1, 2007. The provisions of this final rule 
with comment period have been previously subjected to notice and 
comment procedures. These corrections are consistent with the 
discussion and text of the final rule with comment period, and do not 
make substantive changes to the CY 2007 published rule. As such, this 
correction notice is intended to ensure the CY 2007 final rule with 
comment period accurately reflects the policies adopted in that rule. 
Therefore, we find that undertaking further notice and comment 
procedures to incorporate these corrections into the final rule with 
comment is unnecessary and contrary to the public interest.
    For the same reasons, we are also waiving the 30-day delay in 
effective date for this correction notice. We believe that it is in the 
public interest to ensure that the CY 2007 final rule with comment 
period accurately states our policies relating to the PFS and other 
Part B payment policies. Therefore, delaying the effective date of 
these corrections beyond the January 1, 2007 effective date of the 
final rule with comment period would be contrary to the public 
interest. In so doing, we find good cause to waive the 30-day delay in 
the effective date.

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

    Dated: November 30, 2006.
Ann C. Agnew,
Executive Secretary to the Department.
[FR Doc. 06-9550 Filed 12-4-06; 9:46 am]
BILLING CODE 4120-01-M