[Federal Register Volume 74, Number 170 (Thursday, September 3, 2009)]
[Notices]
[Page 45643]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: E9-21288]


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

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Disease Control and Prevention


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

    Name: ICD-9-CM Coordination and Maintenance Committee meeting.
    Time and Date: 9 a.m.-4 p.m., September 16-17, 2009.
    Place: Centers for Medicare and Medicaid Services (CMS) 
Auditorium, 7500 Security Boulevard, Baltimore, Maryland.
    Status: Open to the public.
    Purpose: The ICD-9-CM Coordination and Maintenance (C&M) 
Committee will hold its second annual meeting of the 2009 calendar 
year cycle on Wednesday and Thursday September 16-17, 2009. The C&M 
meeting is a public forum for the presentation of proposed 
modifications to the International Classification of Diseases, 
Ninth-Revision, Clinical Modification. There will be 200 telephone 
lines available from 9 a.m. until 4 p.m. (both days) for those who 
are unable to attend the meeting in person. The toll-free dial-in 
number for external participants is 1-877-267-1577; participant code 
is 974574. Participants attending by telephone do not need to 
formally register for the meeting. Dial-in lines are available on a 
first come, first served basis.
    Matters To Be Discussed: Tentative agenda items include:

September 16, 2009

    ICD-10/MS-DRG update (September 16, 9-11 a.m.)
    \*\Please see list of questions included in this notice.
    Insertion of drug-eluting stent into superficial femoral artery.
    Circulatory support devices.
    Application of lung sealant.
    Bronchoscopic bronchial thermoplasty.
    Reverse shoulder arthroplasty.
    Implantation of antibiotic matrix.
    Insertion of hemodynamic monitoring system.
    Implantatation of carotid sinus activation device.
    Addenda (procedures).

September 17, 2009

    Acquired absence of pancreas.
    Adverse reactions to blood products.
    Cognitive symptoms related to Traumatic Brain Injury (TBI) and 
other neurological conditions.
    Do not resuscitate (DNR).
    Heart failure.
    IUD surveillance.
    Mesh exposure.
    Multiple sclerosis expansion.
    Neurofibromatosis.
    Neurogenic claudication.
    Pickwickian syndrome.
    Physical restraints.
    Stuttering.
    Addenda (diagnoses).

Request for Input From Interested Stakeholders Regarding the Freezing 
of ICD-9-CM and ICD-10-CM/ICD-10-PCS and Related Issues

    The ICD-9-CM Coordination and Maintenance Committee is 
interested in obtaining input on any or all of the following issues:
    1. Should ICD-9-CM updates be frozen prior to the October 1, 
2013 implementation of ICD-10-CM and ICD-10-PCS?
    (a) If yes, should the last update to ICD-9-CM be effective 
October 1, 2011 (FY 2012) or October 1, 2012 (FY 2013)?
    (b) What is the advantage of this date?
    (c) What is the disadvantage(s) of freezing the update process?
    (d) Do you have any other comments related to freezing the ICD-
9-CM classification?
    2. Should ICD-10-CM and ICD-10-PCS be frozen prior to the 
October 1, 2013 implementation of ICD-10-CM and ICD-10-PCS?
    (a) If yes, what should be the last update to ICD-10-CM and ICD-
10-PCS (FY2012 or FY2013)?
    (b) What is the advantage(s) of this date?
    (c) What is the disadvantage(s) of freezing the update process?
    (d) Do you have any other comments related to freezing the ICD-
10-CM and ICD-10-PCS classifications?
    3. At what point should the updating of ICD-10-CM and ICD-10-PCS 
begin again (e.g., October 1, 2014 (FY 2015)?
    (a) What is the advantage of this date?
    (b) Do you have any other comments related to re-starting the 
updating process for ICD-10-CM and ICD-10-PCS?
    4. What ICD-10 coding products are vendors developing (e.g., 
ICD-10-CM and ICD-10-PCS code books, encoders, automated mapping 
applications based on the General Equivalence Mappings)?
    5. Currently the CMS abbreviated code titles are limited to 24 
characters. With the longer ICD-10-CM and ICD-10-PCS code titles, 
should consideration be given to expanding these codes titles? If 
so, how long should the ICD-10-based titles be?
    The ICD-9-CM Coordination and Maintenance Committee plans to 
hear comments on these issues at the September 16, 2009 meeting (9-
11 a.m.). We encourage you to attend the meeting and provide these 
comments and/or to submit written comments on the above issues to 
Pat Brooks ([email protected] and Donna Pickett 
([email protected]).
    Contact Person for Additional Information: Amy Blum, Medical 
Systems Specialist, Classifications and Public Health Data Standards 
Staff, NCHS, 3311 Toledo Road, Room 2402, Hyattsville, Maryland 
20782, e-mail [email protected], telephone 301-458-4106 (diagnosis), Mady 
Hue, Health Insurance Specialist, Division of Acute Care, CMS, 7500 
Security Blvd., Baltimore, Maryland, 21244, e-mail 
[email protected], telephone 410-786-4510 (procedures).
    Notice: Because of increased security requirements CMS has 
instituted stringent procedures for entrance into the building by 
non-government employees. Persons without a government I.D. will 
need to show an official form of picture I.D., (such as a drivers 
license), and sign-in at the security desk upon entering the 
building.
    Those who wish to attend a specific ICD-9-CM C&M meeting in the 
CMS auditorium must submit their name and organization for addition 
to the meeting visitor list. Those wishing to attend the September 
16-17, 2009 meeting must submit their name and organization by 
September 10, 2009 for inclusion on the visitor list. This visitor 
list will be maintained at the front desk of the CMS building and 
used by the guards to admit visitors to the meeting. Those who 
attended previous ICD-9-CM C&M meetings will no longer be 
automatically added to the visitor list. You must request inclusion 
of your name prior to each meeting you attend.
    Register to attend the meeting on-line at: http://www.cms.hhs.gov/apps/events/. Participants attending by telephone do 
not need to formally register for the meeting.
    Notice: This is a public meeting. However, because of fire code 
requirements, should the number of attendants meet the capacity of 
the room, the meeting will be closed.
    The Director, Management Analysis and Services Office, has been 
delegated the authority to sign Federal Register notices pertaining 
to announcements of meetings and other committee management 
activities, for both CDC and the Agency for Toxic Substances and 
Disease Registry.

    Dated: August 26, 2009.
Elaine L. Baker,
Director, Management Analysis and Services Office, Centers for Disease 
Control and Prevention.
[FR Doc. E9-21288 Filed 9-2-09; 8:45 am]
BILLING CODE 4160-18-P