You are on page 1of 5

16720 Federal Register / Vol. 70, No.

62 / Friday, April 1, 2005 / Rules and Regulations

C. Petitions for Judicial Review such rule or action. This action may not PART 52—[AMENDED]
Under section 307(b)(1) of the Clean be challenged later in proceedings to
enforce its requirements. (See section ■ 1. The authority citation for part 52
Air Act, petitions for judicial review of continues to read as follows:
this action must be filed in the United 307(b)(2)).
Authority: 42 U.S.C. 7401 et seq.
States Court of Appeals for the List of Subjects in 40 CFR Part 52
appropriate circuit by May 31, 2005. Subpart NN—Pennsylvania
Filing a petition for reconsideration by Environmental protection, Air
the Administrator of this final rule pollution control, Ozone, Reporting and ■ 2. In § 52.2020, the table in paragraph
approving source-specific RACT recordkeeping requirements, Volatile (d)(1) is amended by adding the entries
requirements for three sources in the organic compounds. for Salem Tube, Inc., SGL Carbon
Commonwealth of Pennsylvania does Corporation, and Dominion Trans, Inc. at
Dated: March 24, 2005.
not affect the finality of this rule for the the end of the table to read as follows:
purposes of judicial review nor does it Donald S. Welsh,
extend the time within which a petition Regional Administrator, Region III. § 52.2020 Identification of plan.
for judicial review may be filed, and * * * * *
■ 40 CFR part 52 is amended as follows:
shall not postpone the effectiveness of (d) * * *

Additional
Permit
Name of source County State effective date EPA approval date explanation/
No. § 52.2063 citation

* * * * * * *
SGL Carbon Corporation ..... OP 24–131 .. Elk ................ 5/12/95; 5/31/95 .................. 4/1/05, [Insert page number 52.2020(d)(1)(e).
where the document be-
gins].
Salem Tube, Inc. ................. OP 43–142 .. Mercer .......... 2/16/99 ................................ [4/1/05, [Insert page number 52.2020(d)(1)(e).
where the document be-
gins].
Dominion Trans, Inc ............ 18–0006 ....... Clinton .......... 6/15/99; 9/29/03 .................. 4/1/05, [Insert page number 52.2020(d)(1)(e).
where the document be-
gins].

* * * * * FOR FURTHER INFORMATION CONTACT: The short descriptors for the


[FR Doc. 05–6378 Filed 3–31–05; 8:45 am] Diane Milstead, (410) 786–3355. following HCPCS codes were listed
BILLING CODE 6560–50–P incorrectly on page 66681: G0324,
SUPPLEMENTARY INFORMATION:
G0325, G0326 and G0327. The corrected
I. Background descriptors are shown in section II.C.1
DEPARTMENT OF HEALTH AND of this correcting amendment.
In FR Doc. 04–24758 of November 15, Incorrect practice expense relative
HUMAN SERVICES
2004 (69 FR 66236), there were a value units (RVUs) were shown for the
Centers for Medicare & Medicaid number of technical errors that we are following CPT codes: Pages 66546 and
Services identifying and correcting in the 66685 for CPT code 58356; page 66557
‘‘Correction of Errors’’ section of this for CPT codes 62367 and 62368; page
42 CFR Parts 403, 405, 410, 411, 414, correcting amendment. Additionally, 66614 for CPT code 77418; pages 66627
418, 424, 484, and 486 there are various revisions to Addenda and 66686 for CPT codes 78811–26,
B, C and F. 78812–26, 78813–26, 78814–26, 78815–
[CMS–1429–F2]
Discussion of Addenda B, C and F 26 and 78816–26; page 66629 for CPT
RIN 0938–AM90 code 88125 and 88125–TC; pages 66633
In Addenda B and C, we assigned and 66687 for CPT codes 88367, 88367–
Medicare Program; Revisions to incorrect status indicators to the TC, 88368, 88368–TC and 89220; and
Payment Policies Under the Physician following CPT and HCPCS codes: Page page 66665 for CPT code 96567. The
Fee Schedule for Calendar Year 2005: corrected RVUS are shown in section
66429 for CPT codes 0066T and 0074T,
Correcting Amendment II.C.2 of this correcting amendment.
page 66502 for CPT code 36415, page
AGENCY: Centers for Medicare & 66504 for CPT code 37195, pages 66682 On page 66666, we inadvertently
Medicaid Services (CMS), HHS. and 66688 for HCPCS code G0363. We included work and malpractice RVUs
ACTION: Correcting amendment. also assigned incorrect global periods for acupuncture services, CPT codes
for the following CPT and HCPCS codes: 97810, 97811, 97813 and 97814 and
SUMMARY: This document corrects Page 66539 for CPT code 54150; pages there services are not covered by
technical errors that appeared in the 66638 and 66687 for CPT codes 91034, Medicare. We typically do not publish
final rule with comment period 91034–26, 91034–TC, 91035, 91035–26, RVUs for services that Medicare does
published in the Federal Register on 91035–TC, 91037, 91037–26, 91037–TC, not cover. Instead, we list these services
November 15, 2004 entitled ‘‘Revisions 91038 91038–26, 91038–TC, 91040, with ‘‘0.00’s’’ in the RVU columns. This
to Payment Policies Under the 91040–26, 91040–TC; and pages 66682 correction is reflected in section II.C.2 of
Physician Fee Schedule for Calendar and 66688 for G0350, G0354 and G0358. this correcting amendment.
Year 2005.’’ These corrections are reflected in The following HCPCS codes were
DATES: Effective Date: This rule is section II.C.1 of this correcting discussed on page 66308 of the rule but
effective January 1, 2005. amendment. were inadvertently omitted from page

VerDate jul<14>2003 15:42 Mar 31, 2005 Jkt 205001 PO 00000 Frm 00030 Fmt 4700 Sfmt 4700 E:\FR\FM\01APR1.SGM 01APR1
Federal Register / Vol. 70, No. 62 / Friday, April 1, 2005 / Rules and Regulations 16721

66683 of Addendum B: G9021, G9022, related to coverage of an initial should be corrected to read ‘‘Submitted
G9023, G9024, G0925, G9026, G9027, preventive physical exam. price of $13,635’’.
G9028, G9029, G9030, G09031 and Joyce Eng (410) 786–4619 for issues 4. In table 5 and table 7 on pages
G9032. The HCPCS codes are shown in related to coverage of cardiovascular 66268 and 66270, we incorrectly used
section II.C.3 of this correcting screening tests. the specialty description ‘‘Osteopathic
amendment. Betty Shaw (410) 786–4165 for issues Manipulative Therapy.’’ This should be
On page 66900, the title should be related to coverage of diabetes screening revised to read ‘‘Osteopathic
corrected to read ‘‘Addendum L.’’ tests. Manipulative Medicine.’’
Steve Berkowitz (410) 786–0277 for 5. On page 66306, first column, last
Discussion of Regulation Text Errors issues related to coverage of routine sentence, in the response, we
In the regulation text we made costs associated with certain clinical erroneously stated ‘‘Physicians should
technical omissions that should have trials. use HCPCS code G0352 for injections
been included in §§ 403.766, 414.39, Karen Daily (410) 786–0189 for issues previously billed under CPT code
and 424.80. The corrections are related to clinical conditions for 90783.’’ This is incorrect. This sentence
reflected in section II.B. of this payment of covered items of durable should be corrected to read ‘‘Physicians
correcting amendment. medical equipment. should continue using CPT code 90783
2. On page 66237, third column, start when billing for an intra-arterial
II. Correction of Errors
a new line after ‘‘Section VI. Five-Year therapeutic or diagnostic injection.
In FR Doc. 02–37639 of November 15, Refinement of Relative Value Units’’ 6. On page 66369, in the first column,
2004 (69 FR 66236), make the following and before ‘‘Section VII. Update to the first paragraph, third sentence, ‘‘CRP
corrections— Codes for Physician Self-Referral codes’’ should be corrected to read
Prohibition’’. ‘‘CPT codes’’ and in the first line of the
A. Correction of Preamble Errors
3. In Table 2, ‘‘Equipment Items second column, ‘‘work PVUs’’ should be
1. Under ‘‘For Further Information Needing Specialty Input for Pricing and corrected to read ‘‘work RVUs.’’
Contact’’ on page 66236, third column Proposed Deletions’’, on page 66252 7. On page 66385, the statutory
and on page 66237 in the first column under the column labeled ‘‘Commenter formula that follows the first sentence in
make the following corrections: response’’, the price referenced for the third column did not print legibly.
Bill Larson (410) 786–4639 or Tiffany neurobehavioral status instrument- The referenced formula and information
Sanders (410) 786–1948 for issues average was listed incorrectly. This should read as follows:

Target 04 − Actual 04 Target 4 / 96 −12 / 04 − Actual 4 / 96 −12 / 04


UAF = × .75 + × .33
Actual 04 Actual 04 × SGR 05

UAF = Update Adjustment Factor. Target 4/96–12/04 = Allowed Expenditures Actual 4/96–12/04 = Estimated Actual
Target04 = Allowed Expenditures for from 4/1/1996–12/31/2004 = $531.8 Expenditures from 4/1/1996–12/31/
2004 or $77.1 billion. billion. 2003 = $545.5 billion.
Actual04 = Estimated Actual
SGR05 = 4.3 percent (1.043).
Expenditures for 2004 = $84.9 billion.

$77.1 − $84.9 $531.8 − $545.5


× .75 + × .33 = −0.120
$84.9 $84.9 × 1.043

8. In the first column, second a supplying fee of $50 for the initial Authority: 42 U.S.C. 1359b–3 and secs.
paragraph, second sentence on page immunosuppressive prescription in the 1102 and 1871 of the Social Security Act (42
66404 we state ‘‘Payment in 2005 for first month after a beneficiary has a U.S.C. 1302 and 1395hh).
G0351 (the comparable code) will be transplant and a per prescription § 403.766 [Corrected]
$125.69.’’ This should be corrected to supplying fee of $24 for each supplied
read as follows ‘‘Payment in 2005 for immunosuppressive prescription ■ 2. Section 403.766 is amended by
G0357 (the comparable code) will be thereafter and for each supplied oral revising paragraph (a) introductory text
$125.69.’’ anti-cancer and oral anti-emetic to read as follows:
9. On page 66408, the second column,
prescription.’’
the last sentence in the first full § 403.766 Requirements for coverage and
paragraph, the referenced estimate B. Correction of Regulation Text Errors payment of RNHCI home services.
related to utilization growth for
rheumatology is incorrectly stated as 9 ■ Accordingly, 42 CFR chapter IV is (a) Medicare Part A pays for RNHCI
percent. This should be corrected to corrected by making the following home services if the RNHCI provider
read ‘‘would increase by 16 percent.’’ correcting amendments to parts 403, 414, does the following:
10. On page 66412, third column, and 424: * * * * *
ER01AP05.001</MATH>

following table 46, line 4, the discussion


concerning sections 303–304, the first PART 403—[CORRECTED] PART 414—[CORRECTED]
complete sentence beginning ‘‘In
addition, we are also paying a supplying ■ 1. The authority citation for part 403 ■ 3. The authority citation for part 414
fee * * *’’ is corrected to read as continues to read as follows: continues to read as follows:
ER01AP05.000</MATH>

follows: ‘‘In addition, we are also paying

VerDate jul<14>2003 17:23 Mar 31, 2005 Jkt 205001 PO 00000 Frm 00031 Fmt 4700 Sfmt 4700 E:\FR\FM\01APR1.SGM 01APR1
16722 Federal Register / Vol. 70, No. 62 / Friday, April 1, 2005 / Rules and Regulations

Authority: Secs. 1102, 1871, and 1881(b)(1) PART 424—[CORRECTED] this section alters a party’s obligations
of the Social Security Act (42 U.S.C. 1302, under the anti-kickback statute (section
1395hh, and 1395rr(b)(1). ■ 5. The authority citation for part 424 1128B(b) of the Act), the physician self-
§ 414.39 [Corrected] continues to read as follows: referral prohibition (section 1877 of the
■ 4. Section 414.39 is amended by Authority: Secs. 1102 and 1871 of the Act), the rules regarding physician
revising paragraph (c)(1) to read as Social Security Act (42 U.S.C. 1302 and billing for purchased diagnostic tests
follows: 1395hh). (§ 414.50 of this chapter), the rules
regarding payment for services and
§ 414.39 Special rules for payment of care § 424.80 [Corrected]
supplies incident to a physician’s
plan oversight. ■ 6. Section 424.80 is amended by professional services (§ 410.26 of this
* * * * * revising paragraph (a) to read as follows: chapter), or any other applicable
(c) * * * Medicare laws, rules, or regulations.
(1) An NPP can furnish physician care § 424.80 Prohibition of reassignment of
plan oversight (but may not certify a claims by suppliers. * * * * *
patient as needing home health services) (a) Basic prohibition. Except as C. Correction of Errors in the Addendum
only if the physician who signs the plan specified in paragraph (b) of this
of care provides regular ongoing care section, Medicare does not pay amounts 1. In Addenda B and C, the following
under the same plan of care as does the that are due a supplier under an CPT and HCPCS codes are corrected to
NPP billing for care plan oversight and assignment to any other person under read as follows:
either— reassignment, power of attorney, or any [BILLING CODE 4120–01–P]
* * * * * other direct arrangement. Nothing in

ER01AP05.002</GPH><FNP>

VerDate jul<14>2003 15:42 Mar 31, 2005 Jkt 205001 PO 00000 Frm 00032 Fmt 4700 Sfmt 4725 E:\FR\FM\01APR1.SGM 01APR1
Federal Register / Vol. 70, No. 62 / Friday, April 1, 2005 / Rules and Regulations 16723

2. In Addenda B and C, the following


CPT and HCPCS codes are corrected to
read as follows:

ER01AP05.003</GPH><FNP>

VerDate jul<14>2003 15:42 Mar 31, 2005 Jkt 205001 PO 00000 Frm 00033 Fmt 4700 Sfmt 4725 E:\FR\FM\01APR1.SGM 01APR1
16724 Federal Register / Vol. 70, No. 62 / Friday, April 1, 2005 / Rules and Regulations

3. In Addendum B, the following


HCPCS codes are included to read as
follows:

III. Waiver of Proposed Rulemaking DEPARTMENT OF HEALTH AND ‘‘Medicare Program; Prospective
HUMAN SERVICES Payment System for Inpatient
We ordinarily publish a notice of Psychiatric Facilities’’ (hereinafter
proposed rulemaking in the Federal Centers for Medicare & Medicaid referred to as the IPF PPS final rule or
Register to provide a period for public Services final rule) because it includes a timely
comment prior to publication of a final submitted comment and our response
notice. We can waive this procedure, 42 CFR Parts 412 and 413 that we inadvertently failed to include
however, if we find good cause that in the final rule. The provisions of this
[CMS–1213–CN]
notice and comment procedure is correction notice are effective as if they
impracticable, unnecessary, or contrary RIN 0938–AL50 had been included in the final rule.
to the public interest and incorporate a Accordingly, the corrections are
statement of the finding and the reasons Medicare Program; Prospective effective January 1, 2005.
Payment System for Inpatient
for it into the notice issued. In II. Summary of Errors
Psychiatric Facilities; Final Rule;
accordance with section 903 of the
Correction In the November 15, 2004 final rule,
MMA, failure to retroactively apply the
in payment calculation examples, we
corrections would be contrary to the AGENCY: Centers for Medicare & stated that we computed a wage
public interest. Medicaid Services (CMS), HHS. adjustment factor for each case by
We find it unnecessary to undertake ACTION: Correction of final rule. multiplying the Medicare 2005 hospital
notice and comment rulemaking wage index for each facility by the
SUMMARY: This document corrects errors
because this notice merely provides labor-related share and adding the non-
that appeared in the final rule published
technical corrections to the regulations. labor share. We used the correct labor
in the Federal Register on November 15,
Therefore, we find good cause to waive share value of 72.247 percent on page
2004, entitled ‘‘Medicare Program;
notice and comment procedures. 66953 in Table 8 of the final rule.
Prospective Payment System for
However, we inadvertently did not use
(Catalog of Federal Domestic Assistance Inpatient Psychiatric Facilities.’’ This
the correct labor-related and non-labor
Program No. 93.774, Medicare— document also supplements the
share values in other portions of the
Supplementary Medical Insurance Program) November 15, 2004 final rule.
final rule. Instead of using 72.247
Dated: March 16, 2005. DATES: Effective January 1, 2005. percent for the labor share and 27.753
Ann C. Agnew, FOR FURTHER INFORMATION CONTACT: percent for the non-labor share, we used
Executive Secretary to the Department. Janet Samen, (410) 786–9161. a value of 72.528 percent for the labor
[FR Doc. 05–6131 Filed 3–25–05; 8:45 am] SUPPLEMENTARY INFORMATION: share and 27.472 percent for the non-
BILLING CODE 4120–01–C labor share. This error only affected the
I. Background values in the payment calculation
In FR Doc. 04–24787 of November 15, examples on pages 66942, 66943, 66960,
2004 (69 FR 66922), there were several and 66961 of the final rule (See sections
errors that are identified in the III.A.9, III.A.10 and the values in the
‘‘Summary of Errors’’ section and outlier calculation example in section
corrected in the ‘‘Correction of Errors’’ III.A.25 of this correction notice). These
section below. In addition to clarifying errors did not have any effect on actual
ambiguities and correcting payments. The table in Addendum A on
typographical errors and incorrect page 66982 of the final rule that
references, this document is a contains the labor and non-labor portion
supplement to the document published of the Per Diem Rate is also corrected in
ER01AP05.004</GPH>

on November 15, 2004, entitled section III.C of this correction notice.

VerDate jul<14>2003 15:42 Mar 31, 2005 Jkt 205001 PO 00000 Frm 00034 Fmt 4700 Sfmt 4700 E:\FR\FM\01APR1.SGM 01APR1

You might also like