05-24447. Medicare Program; Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2006 Payment Rates; Correction

AGENCY:

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

ACTION:

Correction of final rule with comment period.

SUMMARY:

This document corrects technical errors that appeared in the final rule with comment period published in the Federal Register on November 10, 2005 entitled “Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2006 Payment Rates; Final Rule.”

EFFECTIVE DATE:

January 1, 2006.

FOR FURTHER INFORMATION CONTACT:

Rebecca Kane, [phone].

SUPPLEMENTARY INFORMATION:

I. Background

In FR Doc. 05-22136 (70 FR 68515), we have identified a number of technical errors that we have described in the “Summary of Errors” section and corrected in the “Correction of Errors” section below. The provisions in this correction notice are effective as if they had been included in the CY 2006 final rule with comment period. Accordingly, the corrections are effective January 1, 2006.

II. Summary of Errors

On November 10, 2005, we published the CY 2006 Hospital Outpatient Prospective Payment System (OPPS) final rule with comment period. Included in that document were several technical and typographical errors that we are correcting in section III of this notice.

A. Correction of Technical Errors

We are correcting the following technical errors that were included in the CY 2006 OPPS final rule with comment period affecting drug administration code C8596, estimated expenditures, regulation text, hospital coding for sodium hyaluronate products, and Addendum L.

On page 68680, we neglected to remove the first row, referencing HCPCS code C8956, from Table 31 and the accompanying discussion regarding C8956 from the response to the comment included in the third column, third paragraph. We are correcting these errors in this notice.

On page 68726, we referred to the transfer from the Federal government to Medicare providers in billions rather than millions in the accounting table. We are correcting the error in this notice.

On page 68728, we omitted a reference to pass-through devices in the regulation text as stated in the preamble text at 68559. We correct this omission in this notice.

On page 68643 and in Addendum B we erroneously referred to the creation of a code by the National HCPCS Panel, specifically the creation of HCPCS code J7318. This was incorrect as this code was not created by the National HCPCS Panel. Our error was discovered after publication, and we are taking this opportunity to revise Addendum B to reflect the CY 2006 payment for Sodium Hyaluronate products using HCPCS codes J7317 and J7320, as originally included in the CY 2006 OPPS proposed rule.

On pages 68752-68913 we published Addendum B—Payment Status by HCPCS Code and Related Information—CY 2006. We excluded several codes from this table. In section III of this correction notice we correct this error by publishing the omitted codes.

On pages 68964 through 68980, we published Addendum L—Out-Migration Wage Adjustment CY 2006. We excluded several providers from this table. In Section III of this correction notice, we republish Addendum L.

B. Other Corrections

We are also correcting typographical, formatting, and other technical errors that were contained in the CY 2006 OPPS final rule with comment period.

III. 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 notice such as this takes effect in accordance with section 553(b) of the Administrative Procedure Act (APA) (5 U.S.C. 553(b)). We also ordinarily provide a 30-day delay in the effective date of the provisions of a notice in accordance with section 553(d) of the APA (5 U.S.C. 553(d)). However, we can waive both the notice and comment procedure and the 30-day delay in effective date if the Secretary finds, for good cause, that it is impracticable, unnecessary or contrary to the public interest, and incorporates a statement of the finding and the reasons therefore in the notice.

The policies and payment methodology finalized in the CY 2006 OPPS final rule with comment period have previously been subjected to notice and comment procedures. This correction notice merely provides technical corrections to the CY 2006 OPPS final rule with comment period that was promulgated through notice and comment rulemaking, and does not make substantive changes to the policies or payment methodology that were finalized in the final rule with comment period. For example, this notice corrects typographical errors, makes clarifications to the preamble and regulations text, and revises inaccurate tabular data. Therefore, we find it unnecessary to undertake further notice and comment procedures with respect to this correction notice. We also believe it is in the public interest to waive notice and comment procedures and the 30-day delay in effective date for this notice. This correction notice is intended to ensure that the CY 2006 OPPS final rule with comment period accurately reflects the policies expressed in the final rule, and that the corrected information is made available to the public prior to January 1, 2006, the date on which the final rule becomes effective.

For the reasons stated above, we find that both notice and comment and the 30-day delay in effective date for this correction notice are unnecessary and that it is in the public interest to make this notice effective in conjunction with the final rule to which the corrections apply. Therefore, we find there is good cause to waive notice and comment procedures and the 30-day delay in effective date for this correction notice.

IV. Correction of Errors

In FR Doc. 05-22136 (70 FR 68515), make the following corrections:

A. Corrections to Preamble Text

1. On page 68516, in column 3, in the second full paragraph, line 3, the term “OPPA” is corrected to read “OPPS.”

2. On page 68517, in column 1, in the 15th paragraph, line 1, the phrase “(Cost center specific)” is removed.

3. On page 68518, in column 1, in the 11th paragraph, line 2, the phrase “and0651” is corrected to read “and 0651.”

4. On page 68537,

a. In column 3, in the first full paragraph, lines 5 to 6, the phrase “of the proposed rule (76 FR 42690)” is removed.

b. In column 3, in the first full paragraph, line 6, the word “contained” is corrected to read “contains.”

5. On page 68549,

a. In column 2, in the first full paragraph, line 7, the amount “$246.04” is corrected to read “$245.91.”

b. In column 2, in the first full paragraph, line 8, the amount “$49.21” is corrected to read “$49.18.”

6. On page 68551, in column 3; in the second full paragraph, line 12, the term “TEFRA” is removed.

7. On page 68552,

a. In column 1, in the second partial paragraph, line 32, the term “TEFRA” is removed.

b. In column 2, in the first partial paragraph carried over from column 1, line 14, the term “TEFRA” is removed.

c. In column 2, in the first partial paragraph carried over from column 1, line 15, the line is corrected by inserting the phrase “paid under the OPPS but not under the IPPS” between the words “hospitals” and “will.”

d. In column 3, in the first partial paragraph carried over from column 2, line 3, the term “TEFRA” is removed.

e. In column 3 in the first partial paragraph carried over from column 2, line 5, the term “TEFRA” is corrected to read “these.”

f. In column 3, in the first partial paragraph carried over from column 2, line 10, the term “TEFRA” is corrected to read “these.”

g. In column 3, in the first partial paragraph carried over from column 2, line 17, the term “TEFRA” is removed.

h. In column 3, in the first partial paragraph carried over from column 2, line 18, the line is corrected by inserting the phrase term “not paid under the IPPS” between the words “hospitals” and “that”.

8. On page 68556, in column 2, in the second full paragraph, in line 20, the sentence is corrected by adding the following bolded text “payments, brachytherapy seeds, and any service”.

9. On page 68559,

a. In column 1, below the table footnotes, line 14, following “biologicals” the word “and” is removed.

b. In column 1, below the table footnotes, line 16 is corrected adding, “, and brachytherapy seeds.” after “payment policy”.

10. On page 68561,

a. In column 1, line 7, add a “,” after term “rural hospitals”.

b. In column 1, in the last partial paragraph, line 7, remove the word “because” and add “as” in its place.

c. In column 2, in the first partial paragraph carried over from column 1, line 11, “2 percent” is corrected to read “−2 percent”.

11. On page 68565, column 1, in the fifth full paragraph, line 5, “2005” is corrected to read “2006”.

12. On page 68578, column 1, in the last partial paragraph, line 2, the number “0042” is corrected to read “0429.”

13. On page 68596, column 2, in the first full paragraph,

a. Line 8, the amount “$2,662.62” is corrected to read “$2,709.14.”

b. Line 12, the amount “$2,975.50” is corrected to read “$3,051.67.”

14. On page 68606, in column 1, in the first full paragraph, line 10, the number “0442” is corrected to read “0422.”

15. On page 68628,

a. In column 2, in the first partial paragraph carried over from column 1, line 5, the word “where” is corrected to read “when.”

b. In column 2, in the third full paragraph, line 17, the phrase “November 13, 2000 final rule” is corrected to read “November 13, 2000 interim final rule with comment period.”

16. On page 68630,

a. In column 1, in the first partial paragraph carried over from page 68629, line 4, the date “August 3” is corrected to read “November 13.”

b. In column 2, in the first full paragraph, line 13, the date “August 3” is corrected to read “November 13.”

c. In column 2, in the first full paragraph, line 13, the line is corrected by inserting “with comment period” at the end of the sentence.

d. In column 2, in the first full paragraph, line 33, the date “August 3” is corrected to read “November 13.”

17. On page 68637, in Table 22, the footnote is removed from the column one heading.

18. On page 68679, in column 1; in the first partial paragraph at the bottom of the page, line 6, the number “31” is corrected to read “30.”

19. On page 68680,

a. In column 3, in the third paragraph, line 3, the term “codes” is corrected to read “code.”

b. In column 3, in the third paragraph, lines 3 through 8, the sentence is corrected by removing the phrase “C8956 (Refilling and maintenance of portable or implantable pump or reservoir for drug delivery for therapy/diagnosis, systemic (e.g., intravenous, intra-arterial)) and.”

c. In Table 31, the table is corrected by removing row 1.

20. On page 68717, in column 1, first partial paragraph continued from the previous page, line 24, the line is corrected by inserting the phrase “brachytherapy seeds,” after the word “* * * biologicals,”.

21. On page 68719, in column 1, the third partial paragraph, line 9, the sentence is corrected by inserting the phrase “at least” between the word “of” and the number “0.2.”

22. On page 68720, in column 3, in the second full paragraph, line 30, the number “3.2” is corrected to read “3.0.”

23. On page 68726, in table 41, in column 2, row 2, “$660 Billion.” is corrected to read “$660 Million.”

§ 419.43

[Amended]

24. On page 68728,

a. In column 1, in the first partial paragraph carried over from page 68727, line 1, the phrase “APC and devices of” is corrected to read “APC, devices of.”

b. In column 1, in the first partial paragraph carried over from page 68727, line 3, the sentence is corrected by inserting the phrase, “, and devices paid under § 419.66” after the phrase “(including a radioactive source).”

B. Corrections to Addendum A

1. On page 68736, for APC 0339, row 22, column 3, “Q” is corrected to read “S.”

2. On page 68738, for APC 0430, row 27, is removed.

3. On page 68743, for APC 1491, row 23, column 6, “$2.00” is removed.

4. On page 68746, APC 1611 is added in numerical order as follows:

a. Column 2 reads “Hylan G-F 20 injection,”

b. Column 3 reads “K,”

c. Column 4 is blank,

d. Column 5 reads “$199.09,”

e. Column 6 is blank,

f. Column 7 reads “$39.82.”

5. On page 68748,

a. APC 1706, row 18, is removed.

b. For APC 1713, row 25, column 2, “Inj Fe-based MR contrast, ml” is corrected to read “Inj Fe-base MR contrast, 1m1.”

6. On page 68749, APC 7316 is added as follows:

a. Column 2 reads “Sodium hyaluronate injection,”

b. Column 3 reads “K,”

c. Column 4 is blank,

d. Column 5 reads “$106.70,”

e. Column 6 is blank,

f. Column 7 reads “$21.34.”

7. On page 68750,

a. For APC 9119, row 19, column 2, “Pentastarch 10% solution” is corrected to read “Injection, pegfilgrastim 6mg.”

b. For APC 9126, row 25, column 2, “Injection, Natalizumab, 1mg” is corrected to read “Natalizumab injection.”

8. On page 68751, for APC 9164, row 7, column 2, “Inj Gad-base MR contrast, ml” is corrected to read “Inj Gad-base MR contrast, 1ml.”

C. Corrections to Addendum B

1. On page 68876,

a. For HCPCS code 95965, row 9,

i. In column 4, “T” is corrected to read “S,”

ii. In column 5, “0430” is corrected to read “1523,”

iii. In column 6, “10.8452” is removed,

iv. In column 7, “$645.41” is corrected to read “$2,750.00,”

v. In column 9, “$129.08” is corrected to read “$550.00.”

b. For HCPCS code 95966, row 10,

i. In column 4, “T” is corrected to read “S,”

ii. In column 5, “0430” is corrected to read “1514,”

iii. In column 6, “10.8452” is deleted,

iv. In column 7, “$645.41” is corrected to read “$1,250.00,”

v. In column 9, “$129.08” is corrected to read “$250.00.”

c. For HCPCS code 95967, row 11,

i. In column 4, “T” is corrected to read “S,”

ii. In column 5, “0430” is corrected to read “1510,”

iii. In column 6, “10.8452” is deleted,

iv. In column 7, “$645.41” is corrected to read “$850.00,”

v. In column 9, “$129.06” is corrected to read “$170.00.”

2. On page 68880,

a. For HCPCS code 0001F, row 1, column 4, “D” is corrected to read “E.”

b. For HCPCS code 0005F, row 7, column 4, “D” is corrected to read “E.”

3. On page 68888, for HCPCS code C8956, row 14,

a. In column 4, “T” is corrected to read “D,”

b. In column 5, “0125” is removed,

c. In column 6, “1.9021” is removed,

d. In column 7, “$113.20” is removed,

e. In column 9, “$22.64” is removed.

4. On page 68895,

a. For HCPCS code G0375, row 36, column 8, “$2.00” is removed.

b. For HCPCS code G0376, row 37, column 8, “$2.00” is removed.

5. On page 68901,

a. For HCPCS code J2505, row 20, column 2, “Pentastarch 10% solution” is corrected to read “Injection, pegfilgrastim 6mg.”

b. For HCPCS code J2510, row 21, column 2, “Sincalide injection” is corrected to read “Penicillin g procaine inj.”

6. On page 68902, for HCPCS code J3070, row 26, column 2, “Pentazocine hcl injection” is corrected to read “Pentazocine injection.”

7. On page 68904,

a. For HCPCS code J7317, row 12, column 4,

i. “D” is corrected to read “K,”

ii. In column 5, “7316” is added,

iii. In column 7, “$106.70” is added,

iv. In column 9, “$21.34” is added.

b. For HCPCS code J7318, row 13,

i. In column 4, “K” is corrected to read “D,”

ii. In column 5, “1706” is removed,

iii. In column 7, “$7.20” is removed,

iv. In column 9, “$1.44” is removed,

c. For HCPCS code J7320, row 14,

i. In column 4, “D” is corrected to read “K,”

ii. In column 5, “1611” is added,

iii. In column 7, “$199.09” is added,

iv. In column 9, “$39.82” is added.

8. On page 68907, for HCPCS code K0105, row 8, column 4, “D” is corrected to read “Y.”

9. On page 68912,

a. For HCPCS code Q4079, row 15, column 2, “Injection, Natalizumab, 1 MG” is corrected to read “Natalizumab injection.”

b. For HCPCS code Q9946, row 21, column 2, “LOCM <=149 mg/ml iodine, 1ml” is corrected to read “LOCM 150-199 mg/ml iodine, 1ml.”

c. For HCPCS code Q9952, row 27, column 2, “Inj Gad-base MR contrast, ml” is corrected to read “Inj Gad-base MR contrast, 1ml.”

d. For HCPCS code Q9953, row 28, column 2, “Inj Fe-based MR contrast, ml” is corrected to read “Inj Fe-based MR contrast, 1ml.”

10. The following HCPCS codes were inadvertently omitted from the Addendum B. We correct this error by listing the omitted codes below.

HCPCS/CPT	Short descriptor	CI	SI	APC	Relative weight	Payment rate	National unadjusted copayment	Minimum unadjusted copayment
22010	I&d, p-spine, c/t/cerv-thor	NI	C
22015	I&d, p-spine, l/s/ls	NI	C
32503	Resect apical lung tumor	NI	C
32504	Resect apical lung tum/chest	NI	C
33507	Repair art, intramural	NI	C
33548	Restore/remodel, ventricle	NI	C
33768	Cavopulmonary shunting	NI	C
33880	Endovasc taa repr incl subcl	NI	C
33881	Endovasc taa repr w/o subcl	NI	C
33883	Insert endovasc prosth, taa	NI	C
33884	Endovasc prosth, taa, add-on	NI	C
33886	Endovasc prosth, delayed	NI	C
33889	Artery transpose/endovas taa	NI	C
33891	Car-car bp grft/endovas taa	NI	C
33925	Rpr pul art unifocal w/o cpb	NI	C
33926	Repr pul art, unifocal w/cpb	NI	C
43770	Lap, place gastr adjust band	NI	C
43771	Lap, revise adjust gast band	NI	C
43772	Lap, remove adjust gast band	NI	C
43773	Lap, change adjust gast band	NI	C
43774	Lap remov adj gast band/port	NI	C
44187	Lap, ileo/jejuno-stomy	NI	C
44188	Lap, colostomy	NI	C
44227	Lap, close enterostomy	NI	C
45395	Lap, removal of rectum	NI	C
45397	Lap, remove rectum w/pouch	NI	C
45400	Laparoscopic proctopexy	NI	C
45402	Lap proctopexy w/sig resect	NI	C
46710	Repr per/vag pouch sngl proc	NI	C
46712	Repr per/vag pouch dbl proc	NI	C
50250	Cryoablate renal mass open	NI	C
61630	Intracranial angioplasty	NI	B
61635	Intracran angioplsty w/stent	NI	B
61640	Dilate ic vasospasm, init	NI	B
61641	Dilate ic vasospasm add-on	NI	B
61642	Dilate ic vasospasm add-on	NI	B
75956	Xray, endovasc thor ao repr	NI	C
75957	Xray, endovasc thor ao repr	NI	C
75958	Xray, place prox ext thor ao	NI	C
75959	Xray, place dist ext thor ao	NI	C
80195	Assay of sirolimus	NI	A
82271	Occult blood, feces, single	NI	A
82272	Blood occult peroxidase	NI	A
83037	Glycosylated hb, home device	NI	A
83631	Lactoferrin, fecal (quant)	NI	A
83695	Assay of lipoprotein(a)	NI	A
83700	Lipopro bld, electrophoretic	NI	A
83701	Lipoprotein bld, hr fraction	NI	A
83704	Lipoprotein, bld, by nmr	NI	A
83900	Molecule nucleic ampli 2 seq	NI	A
83907	Lyse cells for nucleic ext	NI	A
83908	Nucleic acid, signal ampli	NI	A
83909	Nucleic acid, high resolute	NI	A
83914	Mutation ident ola/sbce/aspe	NI	A
86200	Ccp antibody	NI	A
86355	B cells, total count	NI	A
86357	Nk cells, total count	NI	A
86367	Stem cells, total count	NI	A
86480	Tb test, cell immun measure	NI	A
87209	Smear, complex stain	NI	A
87900	Phenotype, infect agent drug	NI	A
90649	H papilloma vacc 3 dose im	NI	E
90736	Zoster vacc, sc	NI	E
90760	Hydration iv infusion, init	NI	B
90761	Hydrate iv infusion, add-on	NI	B
90765	Ther/proph/diag iv inf, init	NI	B
90766	Ther/proph/dg iv inf, add-on	NI	B
90767	Tx/proph/dg addl seq iv inf	NI	B
90768	Ther/diag concurrent inf	NI	B
90774	Ther/proph/diag inj, iv push	NI	B
90775	Ther/proph/diag inj add-on	NI	B
92630	Aud rehab pre-ling hear loss	NI	E
92633	Aud rehab postling hear loss	NI	E
95251	Gluc monitor, cont, phys i&r	NI	B
96409	Chemo, iv push, sngl drug	NI	B
96411	Chemo, iv push, addl drug	NI	B
96413	Chemo, iv infusion, 1 hr	NI	B
96415	Chemo, iv infusion, addl hr	NI	B
96417	Chemo iv infus each addl seq	NI	B
97760	Orthotic mgmt and training	NI	A
97761	Prosthetic training	NI	A
97762	C/o for orthotic/prosth use	NI	A
98960	Self-mgmt educ & train, 1 pt	NI	E
98961	Self-mgmt educ/train, 2-4 pt	NI	E
98962	Self-mgmt educ/train, 5-8 pt	NI	E
99051	Med serv, eve/wkend/holiday	NI	B
99053	Med serv 10pm-8am, 24 hr fac	NI	B
99060	Out of office emerg med serv	NI	B
99304	Nursing facility care, init	NI	B
99305	Nursing facility care, init	NI	B
99306	Nursing facility care, init	NI	B
99307	Nursing fac care, subseq	NI	B
99308	Nursing fac care, subseq	NI	B
99309	Nursing fac care, subseq	NI	B
99310	Nursing fac care, subseq	NI	B
99318	Annual nursing fac assessmnt	NI	B
99324	Domicil/r-home visit new pat	NI	B
99325	Domicil/r-home visit new pat	NI	B
99326	Domicil/r-home visit new pat	NI	B
99327	Domicil/r-home visit new pat	NI	B
99328	Domicil/r-home visit new pat	NI	B
99334	Domicil/r-home visit est pat	NI	B
99335	Domicil/r-home visit est pat	NI	B
99336	Domicil/r-home visit est pat	NI	B
99337	Domicil/r-home visit est pat	NI	B
99339	Domicil/r-home care supervis	NI	B
99340	Domicil/r-home care supervis	NI	B
0090T	Cervical artific disc	NI	C
0091T	Lumbar artific disc	NI	C
0092T	Artific disc addl	NI	C
0093T	Cervical artific diskectomy	NI	C
0094T	Lumbar artific diskectomy	NI	C
0095T	Artific diskectomy addl	NI	C
0096T	Rev cervical artific disc	NI	C
0097T	Rev lumbar artific disc	NI	C
0098T	Rev artific disc addl	NI	C
0103T	Holotranscobalamin	NI	A
0104T	At rest cardio gas rebreathe	NI	A
0105T	Exerc cardio gas rebreathe	NI	A
0111T	Rbc membranes fatty acids	NI	A
0115T	Med tx mngmt 15 min	NI	B
0116T	Med tx mngmt subsqt	NI	B
0117T	Med tx mngmt addl 15 min	NI	B
0130T	Chron care drug investigatn	NI	B
0140T	Exhaled breath condensate ph	NI	A
0141T	Perq islet transplant	NI	E
0142T	Open islet transplant	NI	E
0143T	Laparoscopic islet transplnt	NI	E
0153T	Implant aneur sensor add-on	NI	C
1003F	Level of activity assess	NI	E
1004F	Clin symp vol ovrld assess	NI	E
1005F	Asthma symptoms evaluate	NI	E
1006F	Osteoarthritis assess	NI	E
1007F	Anti-inflm/anlgsc otc assess	NI	E
1008F	Gi/renal risk assess	NI	E
2000F	Blood pressure measure	NI	E
2001F	Weight record	NI	E
2002F	Clin sign vol ovrld assess	NI	E
2003F	Auscultation heart perform	NI	E
2004F	Initial exam involved joints	NI	E
3000F	Blood press </= 140/90 mmhg	NI	E
3002F	Blood pressure > 140/90 mmhg	NI	E
4003F	Pt ed write/oral, pts w/ hf	NI	E
4012F	Warfarin therapy rx	NI	E
4014F	Written discharge instr prvd	NI	E
4015F	Persist asthma medicine ctrl	NI	E
4016F	Anti-inflm/anlgsc agent rx	NI	E
4017F	Gi prophylaxis for nsaid rx	NI	E
4018F	Therapy exercise joint rx	NI	E
A0998	Ambulance response/treatment	NI	E
A4233	Alkalin batt for glucose mon	NI	Y
A4234	J-cell batt for glucose mon	NI	Y
A4235	Lithium batt for glucose mon	NI	Y
A4236	Silvr oxide batt glucose mon	NI	Y
A4363	Ostomy clamp, replacement	NI	A
A4411	Ost skn barr extnd =4 sq	NI	A
A4412	Ost pouch drain high output	NI	A
A4604	Tubing with heating element	NI	Y
A5120	Skin barrier, wipe or swab	NI	A
A5512	Multi den insert direct form	NI	B
A5513	Multi den insert custom mold	NI	B
A6457	Tubular dressing	NI	A
A6513	Compress burn mask face/neck	NI	B
A6530	Compression stocking BK18-30	NI	E
A6531	Compression stocking BK30-40	NI	A
A6532	Compression stocking BK40-50	NI	A
A6533	Gc stocking thighlngth 18-30	NI	E
A6534	Gc stocking thighlngth 30-40	NI	E
A6535	Gc stocking thighlngth 40-50	NI	E
A6536	Gc stocking full lngth 18-30	NI	E
A6537	Gc stocking full lngth 30-40	NI	E
A6538	Gc stocking full lngth 40-50	NI	E
A6539	Gc stocking waistlngth 18-30	NI	E
A6540	Gc stocking waistlngth 30-40	NI	E
A6541	Gc stocking waistlngth 40-50	NI	E
A6542	Gc stocking custom made	NI	E
A6543	Gc stocking lymphedema	NI	E
A6544	Gc stocking garter belt	NI	E
A6549	G compression stocking	NI	E
A9275	Disp home glucose monitor	NI	E
A9281	Reaching/grabbing device	NI	E
A9282	Wig any type	NI	E
B4185	Parenteral sol 10 gm lipids	NI	B
E0170	Commode chair electric	NI	Y
E0171	Commode chair non-electric	NI	Y
E0172	Seat lift mechanism toilet	NI	E
E0485	Oral device/appliance prefab	NI	Y
E0486	Oral device/appliance cusfab	NI	Y
E0641	Multi-position stnd fram sys	NI	E
E0642	Dynamic standing frame	NI	E
E0705	Transfer board or device	NI	B
E0762	Trans elec jt stim dev sys	NI	B
E0764	Functional neuromuscularstim	NI	Y
E0911	HD trapeze bar attach to bed	NI	Y
E0912	HD trapeze bar free standing	NI	Y
E1392	Portable oxygen concentrator	NI	Y
E1812	Knee ext/flex w act res ctrl	NI	Y
E2207	Crutch and cane holder	NI	Y
E2208	Cylinder tank carrier	NI	Y
E2209	Arm trough each	NI	Y
E2210	Wheelchair bearings	NI	Y
E2211	Pneumatic propulsion tire	NI	Y
E2212	Pneumatic prop tire tube	NI	Y
E2213	Pneumatic prop tire insert	NI	Y
E2214	Pneumatic caster tire each	NI	Y
E2215	Pneumatic caster tire tube	NI	Y
E2216	Foam filled propulsion tire	NI	Y
E2217	Foam filled caster tire each	NI	Y
E2218	Foam propulsion tire each	NI	Y
E2219	Foam caster tire any size ea	NI	Y
E2220	Solid propulsion tire each	NI	Y
E2221	Solid caster tire each	NI	Y
E2222	Solid caster integrated whl	NI	Y
E2223	Valve replacement only each	NI	Y
E2224	Propulsion whl excludes tire	NI	Y
E2225	Caster wheel excludes tire	NI	Y
E2226	Caster fork replacement only	NI	Y
E2371	Gr27 sealed leadacid battery	NI	Y
E2372	Gr27 non-sealed leadacid	NI	Y
G0333	Dispense fee initial 30 day	NI	M
G0372	MD service required for PMD	NI	M
G8006	AMI pt recd aspirin at arriv	NI	M
G8007	AMI pt did not receiv aspiri	NI	M
G8008	AMI pt ineligible for aspiri	NI	M
G8009	AMI pt recd Bblock at arr	NI	M
G8010	AMI pt did not rec bblock	NI	M
G8011	AMI pt inelig Bbloc at arriv	NI	M
G8012	Pneum pt recv antibiotic 4 h	NI	M
G8013	Pneum pt w/o antibiotic 4 hr	NI	M
G8014	Pneum pt not elig antibiotic	NI	M
G8015	Diabetic pt w/ HBA1c>9%	NI	M
G8016	Diabetic pt w/ HBA1c < or = 9%	NI	M
G8017	DM pt inelig for HBA1c measu	NI	M
G8018	Care not provided for HbA1c	NI	M
G8019	Diabetic pt w/LDL> 100mg/dl	NI	M
G8020	Diab pt w/LDL < or = 100mg/dl	NI	M
G8021	Diab pt inelig for LDL meas	NI	M
G8022	Care not provided for LDL	NI	M
G8023	DM pt w BP> 140/80	NI	M
G8024	Diabetic pt wBP< 140/80	NI	M
G8025	Diabetic pt inelig for BP me	NI	M
G8026	Diabet pt w no care re BP me	NI	M
G8027	HF p w/LVSD on ACE-I/ARB	NI	M
G8028	HF pt w/LVSD not on ACE-I/AR	NI	M
G8029	HF pt not elig for ACE-I/ARB	NI	M
G8030	HF pt w/LVSD on Bblocker	NI	M
G8031	HF pt w/LVSD not on Bblocker	NI	M
G8032	HF pt not elig for Bblocker	NI	M
G8033	AMI-CAD pt on Bblocker	NI	M
G8034	AMI-CAD pt not on Bblocker	NI	M
G8035	AMI-CAD pt inelig Bblocker	NI	M
G8036	AMI-CAD pt doc on antiplatel	NI	M
G8037	AMI-CAD pt not docu on antip	NI	M
G8038	AMI-CAD inelig antiplate mea	NI	M
G8039	CAD pt w/LDL>100mg/dl	NI	M
G8040	CAD pt w/LDL< or = 100mg/dl	NI	M
G8041	CAD pt not eligible for LDL	NI	M
G8051	Osteoporosis assess	NI	M
G8052	Osteopor pt not assess	NI	M
G8053	Pt inelig for osteopor meas	NI	M
G8055	Falls assess w/ 12 mon	NI	M
G8056	Not elig for falls assessmen	NI	M
G8057	Hearing assess receive	NI	M
G8058	Pt w/o hearing assess	NI	M
G8059	Pt inelig for hearing assess	NI	M
G8060	Urinary incont pt assess	NI	M
G8061	Pt not assess for urinary in	NI	M
G8062	Pt not elig for urinary inco	NI	M
G8075	ESRD pt w/ dialy of URR> 65%	NI	M
G8076	ESRD pt w/ dialy of URR< 65%	NI	M
G8077	ESRD pt not elig for URR/KtV	NI	M
G8078	ESRD pt w/Hct> or = 33	NI	M
G8079	ESRD pt w/Hct< 33	NI	M
G8080	ESRD pt inelig for HCT/Hgb	NI	M
G8081	ESRD pt w/ auto AV fistula	NI	M
G8082	ESRD pt w other fistula	NI	M
G8093	COPD pt rec smoking cessat	NI	M
G8094	COPD pt w/o smoke cessat int	NI	M
G8099	Osteopo pt given Ca+VitD sup	NI	M
G8100	Osteop pt inelig for Ca+VitD	NI	M
G8103	New dx osteo pt w/antiresorp	NI	M
G8104	Osteo pt inelig for antireso	NI	M
G8106	Bone dens meas test perf	NI	M
G8107	Bone dens meas test inelig	NI	M
G8108	Pt receiv influenza vacc	NI	M
G8109	Pt w/o influenza vacc	NI	M
G8110	Pt inelig for influenza vacc	NI	M
G8111	Pt receiv mammogram	NI	M
G8112	Pt not doc mammogram	NI	M
G8113	Pt ineligible mammography	NI	M
G8114	Care not provided for mamogr	NI	M
G8115	Pt receiv pneumo vacc	NI	M
G8116	Pt did not rec pneumo vacc	NI	M
G8117	Pt was inelig for pneumo vac	NI	M
G8126	Pt treat w antidepress 12wks	NI	M
G8127	Pt not treat w/antidepres 12w	NI	M
G8128	Pt inelig for antidepres med	NI	M
G8129	Pt treat w/antidepres for 6m	NI	M
G8130	Pt not treat w/antidepres 6m	NI	M
G8131	Pt inelig for antidepres med	NI	M
G8152	Pt w/AB 1 hr prior to incisi	NI	M
G8153	Pt not doc for AB 1 hr prior	NI	M
G8154	Pt ineligi for AB therapy	NI	M
G8155	Pt recd thromboemb prophylax	NI	M
G8156	Pt did not rec thromboembo	NI	M
G8157	Pt ineligi for thrombolism	NI	M
G8158	Pt recd CABG w/ IMA	NI	M
G8159	Pt w/CABG w/o IMA	NI	M
G8160	Pt inelig for CABG w/IMA	NI	M
G8161	Iso CABG pt rec preop bblock	NI	M
G8162	Iso CABG pt w/o preop Bblock	NI	M
G8163	Iso CABG pt inelig for preo	NI	M
G8164	Iso CABG pt w/prolng intub	NI	M
G8165	Iso CABG pt w/o prolng intub	NI	M
G8166	Iso CABG req surg rexpo	NI	M
G8167	Iso CABG w/o surg explo	NI	M
G8170	CEA/ext bypass pt on aspirin	NI	M
G8171	Pt w/carot endarct/ext bypas	NI	M
G8172	CEA/ext bypass pt not on asp	NI	M
G8182	CAD pt care not prov LDL	NI	M
G8183	HF/atrial fib pt on warfarin	NI	M
G8184	HF/atrial fib pt inelig warf	NI	M
G8185	Osteoarth pt w/ assess pain	NI	M
G8186	Osteoarth pt inelig assess	NI	M
J0882	Darbepoetin alfa, esrd use	NI	B
J0886	Epoetin alfa, esrd	NI	B
J1675	Histrelin acetate	NI	B
J7306	Levonorgestrel implant sys	NI	E
J7341	Non-human, metabolic tissue	NI	K	1707		1.01		0.20
J7620	Albuterol non-compounded	NI	B
J7627	Budesonide, compounded	NI	B
J8498	Antiemetic rectal/supp NOS	NI	B
J8515	Cabergoline, oral 0.25mg	NI	E
J8540	Oral dexamethasone	NI	K	1708		0.22		0.04
L0491	TLSO 2 piece rigid shell	NI	A
L0492	TLSO 3 piece rigid shell	NI	A
L0621	SIO flex pelvisacral prefab	NI	A
L0622	SIO flex pelvisacral custom	NI	A
L0623	SIO panel prefab	NI	A
L0624	SIO panel custom	NI	A
L0625	LO flexibl L1-below L5 pre	NI	A
L0626	LO sag stays/panels pre-fab	NI	A
L0627	LO sagitt rigid panel prefab	NI	A
L0628	LO flex w/o rigid stays pre	NI	A
L0629	LSO flex w/rigid stays cust	NI	A
L0630	LSO post rigid panel pre	NI	A
L0631	LSO sag-coro rigid frame pre	NI	A
L0632	LSO sag rigid frame cust	NI	A
L0633	LSO flexion control prefab	NI	A
L0634	LSO flexion control custom	NI	A
L0635	LSO sagit rigid panel prefab	NI	A
L0636	LSO sagittal rigid panel cus	NI	A
L0637	LSO sag-coronal panel prefab	NI	A
L0638	LSO sag-coronal panel custom	NI	A
L0639	LSO s/c shell/panel prefab	NI	A
L0640	LSO s/c shell/panel custom	NI	A
L0859	MRI compatible system	NI	A
L3671	SO cap design w/o jnts CF	NI	A
L3672	SO airplane w/o jnts CF	NI	A
L3673	SO airplane w/joint CF	NI	A
L3702	EO w/o joints CF	NI	A
L3763	EWHO rigid w/o jnts CF	NI	A
L3764	EWHO w/joint(s) CF	NI	A
L3765	EWHFO rigid w/o jnts CF	NI	A
L3766	EWHFO w/joint(s) CF	NI	A
L3905	WHO w/nontorsion jnt(s) CF	NI	A
L3913	HFO w/o joints CF	NI	A
L3919	HO w/o joints CF	NI	A
L3921	HFO w/joint(s) CF	NI	A
L3933	FO w/o joints CF	NI	A
L3935	FO nontorsion joint CF	NI	A
L3961	SEWHO cap design w/o jnts CF	NI	A
L3967	SEWHO airplane w/o jnts CF	NI	A
L3971	SEWHO cap design w/jnt(s) CF	NI	A
L3973	SEWHO airplane w/jnt(s) CF	NI	A
L3975	SEWHFO cap design w/o jnt CF	NI	A
L3976	SEWHFO airplane w/o jnts CF	NI	A
L3977	SEWHFO cap desgn w/jnt(s) CF	NI	A
L3978	SEWHFO airplane w/jnt(s) CF	NI	A
L5703	Symes ankle w/o (SACH) foot	NI	A
L5858	Stance phase only	NI	A
L5971	SACH foot, replacement	NI	A
L6621	Flex/ext wrist w/wo friction	NI	A
L6677	UE triple control harness	NI	A
L6883	Replc sockt below e/w disa	NI	A
L6884	Replc sockt above elbow disa	NI	A
L6885	Replc sockt shldr dis/interc	NI	A
L7400	Add UE prost be/wd, ultlite	NI	A
L7401	Add UE prost a/e ultlite mat	NI	A
L7402	Add UE prost s/d ultlite mat	NI	A
L7403	Add UE prost b/e acrylic	NI	A
L7404	Add UE prost a/e acrylic	NI	A
L7405	Add UE prost s/d acrylic	NI	A
L7600	Prosthetic donning sleeve	NI	A
L8623	Lith ion batt CID, non-earlvl	NI	A
L8624	Lith ion batt CID, ear level	NI	A
L8680	Implt neurostim elctr each	NI	B
L8681	Pt prgrm for implt neurostim	NI	A
L8683	Radiofq trsmtr for implt neu	NI	A
L8684	Radiof trsmtr implt scrl neu	NI	A
L8685	Implt nrostm pls gen sng rec	NI	B
L8686	Implt nrostm pls gen sng non	NI	B
L8687	Implt nrostm pls gen dua rec	NI	B
L8688	Implt nrostm pls gen dua non	NI	B
L8689	External recharging system	NI	A
Q0510	Dispens fee immunosupressive	NI	B
Q0511	Sup fee antiem, antica, immuno	NI	B
Q0512	Px sup fee anti-can sub pres	NI	M
Q0513	Disp fee inhal drugs/30 days	NI	B
Q0514	Disp fee inhal drugs/90 days	NI	B
V2788	Presbyopia-correct function	NI	E

D. Corrections to Addendum L

Addendum L represents all hospitals that are eligible to have their wage index increased by the out-migration adjustment. In the final rule with comment period, we inadvertently did not list all hospitals eligible for the adjustment. We correct this in this notice by replacing Addendum L in its entirety; however we retain the footnote language as published in the final rule.

Addendum L.—Out-Migration Wage Adjustment CY 2006 ¹

Provider no.	Redesignation indicator	Out-migration adjustment	Qualifying county name
010005		0.0259	Marshall.
010008	*	0.0212	Crenshaw.
010009		0.0092	Morgan.
010010		0.0259	Marshall.
010012	*	0.0205	De Kalb.
010022	*	0.0714	Cherokee.
010025	*	0.0235	Chambers.
010029	*	0.0107	Lee.
010035	*	0.0375	Cullman.
010038		0.0062	Calhoun.
010045	*	0.0160	Fayette.
010047		0.0155	Butler.
010054		0.0092	Morgan.
010061		0.0506	Jackson.
010072	*	0.0310	Talladega.
010078		0.0062	Calhoun.
010083	*	0.0121	Baldwin.
010085		0.0092	Morgan.
010100	*	0.0121	Baldwin.
010101	*	0.0310	Talladega.
010109		0.0451	Pickens.
010115		0.0093	Franklin.
010129		0.0121	Baldwin.
010143	*	0.0375	Cullman.
010146		0.0062	Calhoun.
010150	*	0.0155	Butler.
010158	*	0.0093	Franklin.
010164	*	0.0310	Talladega.
013027		0.0121	Baldwin.
014008		0.0121	Baldwin.
014009		0.0092	Morgan.
040014	*	0.0159	White.
040019	*	0.0697	St. Francis.
010047	*	0.0090	Randolph.
010069	*	0.0140	Mississippi.
010071		0.0026	Jefferson.
040076	*	0.1075	Hot Spring.
040100	*	0.0159	White.
042007		0.0026	Jefferson.
050008		0.0026	San Francisco
050009	*	0.0478	NAPA.
050013	*	0.0478	NAPA.
050014	*	0.0131	Amador.
050016		0.0103	San Luis Obispo.
050042	*	0.0219	Tehama.
050046		0.0156	Ventura.
050047		0.0026	San Francisco.
050055		0.0026	San Francisco.
050065	*	0.0029	Orange.
050069	*	0.0029	Orange.
050073	*	0.0269	Solano.
050076	*	0.0026	San Francisco.
050082		0.0156	Ventura.
050084		0.0555	San Joaquin.
050089	*	0.0152	San Bernardino.
050090	*	0.0308	Sonoma.
050099	*	0.0152	San Bernardino.
050101		0.0269	Solano.
050117		0.0463	Merced.
050118	*	0.0555	San Joaquin.
050122		0.0555	San Joaquin.
050129	*	0.0152	San Bernardino.
050133		0.0170	Yuba.
050136	*	0.0308	Sonoma.
050140	*	0.0152	San Bernardino.
050150	*	0.0316	Nevada
050152		0.0026	San Francisco.
050159		0.0156	Ventura.
050167		0.0555	San Joaquin.
050168	*	0.0029	Orange.
050173	*	0.0029	Orange.
050174	*	0.0308	Sonoma.
050177		0.0156	Ventura.
050193	*	0.0029	Orange.
050224	*	0.0029	Orange.
050226	*	0.0029	Orange.
050228	*	0.0026	San Francisco.
050230	*	0.0029	Orange.
050232		0.0103	San Luis Obispo.
050236		0.0156	Ventura.
050245	*	0.0152	San Bernardino.
050272	*	0.0152	San Bernardino.
050279	*	0.0152	San Bernardino.
050291	*	0.0308	Sonoma.
050298	*	0.0152	San Bernardino.
050300	*	0.0152	San Bernardino.
050313		0.0555	San Joaquin.
050325		0.0176	Tuolumne.
050327	*	0.0152	San Bernardino.
050331	*	0.0308	Sonoma.
050335		0.0176	Tuolumne.
050336		0.0555	San Joaquin.
050348	*	0.0029	Orange.
050367		0.0269	Solano.
050385	*	0.0308	Sonoma.
050394		0.0156	Ventura.
050407		0.0026	San Francisco.
050426	*	0.0029	Orange.
050444		0.0463	Merced.
050454		0.0026	San Francisco.
050457		0.0026	San Francisco.
050469	*	0.0152	San Bernardino.
050476		0.0257	Lake.
050494	*	0.0316	Nevada.
050506		0.0103	San Luis Obispo.
050517		0.0152	San Bernardino.
050526	*	0.0029	Orange.
050528	*	0.0463	Merced.
050535	*	0.0029	Orange.
050539		0.0257	Lake.
050543	*	0.0029	Orange.
050547	*	0.0308	Sonoma.
050548	*	0.0029	Orange.
050549	*	0.0156	Ventura.
050550	*	0.0029	Orange.
050551	*	0.0029	Orange.
050567	*	0.0029	Orange.
050568		0.0062	Madera.
050570	*	0.0029	Orange.
050580	*	0.0029	Orange.
050584	*	0.0152	San Bernardino.
050585	*	0.0029	Orange.
050586	*	0.0152	San Bernardino.
050589	*	0.0029	Orange.
050592	*	0.0029	Orange.
050594	*	0.0029	Orange.
050603	*	0.0029	Orange.
050609	*	0.0029	Orange.
050616		0.0156	Ventura.
050618	*	0.0152	San Bernardino.
050633		0.0103	San Luis Obispo.
050667	*	0.0478	Napa.
050668	*	0.0026	San Francisco.
050678	*	0.0029	Orange.
050680		0.0269	Solano.
050690	*	0.0308	Sonoma.
050693	*	0.0029	Orange.
050695		0.0555	San Joaquin.
050720	*	0.0029	Orange.
050728	*	0.0308	Sonoma.
050731		0.0152	San Bernardino.
052035		0.0029	Orange.
052037		0.0152	San Bernardino.
052039		0.0029	Orange.
052040		0.0152	San Bernardino.
053034		0.0029	Orange.
053037		0.0152	San Bernardino.
053304		0.0029	Orange.
053306		0.0029	Orange.
053308		0.0029	Orange.
054020		0.0026	San Francisco.
054074		0.0269	Solano.
054077		0.0156	Ventura.
054089		0.0026	San Francisco.
054093		0.0152	San Bernardino.
054106		0.0156	Ventura.
054111		0.0152	San Bernardino.
054122		0.0478	Napa.
054123		0.0555	San Joaquin.
054135		0.0029	Orange.
054141		0.0269	Solano.
054144		0.0026	San Francisco.
060001	*	0.0294	Weld.
060003	*	0.0203	Boulder.
060027	*	0.0203	Boulder.
060103	*	0.0203	Boulder.
064007		0.0203	Boulder.
070003	*	0.0009	Windham.
070006	*	0.0047	Fairfield.
070010	*	0.0047	Fairfield.
070018	*	0.0047	Fairfield.
070020		0.0073	Middlesex.
070021	*	0.0009	Windham.
070028	*	0.0047	Fairfield.
070033	*	0.0047	Fairfield.
070034	*	0.0047	Fairfield.
073026		0.0009	Windham.
074000		0.0047	Fairfield.
074003		0.0073	Middlesex.
074008		0.0009	Windham.
074012		0.0047	Fairfield.
074014		0.0047	Fairfield.
080001		0.0063	New Castle.
080003		0.0063	New Castle.
082000		0.0063	New Castle.
083300		0.0063	New Castle.
084001		0.0063	New Castle.
084002		0.0063	New Castle.
084003		0.0063	New Castle.
100014		0.0118	Volusia.
100017		0.0118	Volusia.
100045	*	0.0118	Volusia.
100047		0.0021	Charlotte.
100062		0.0060	Marion.
100068		0.0118	Volusia.
100072		0.0118	Volusia.
100077		0.0021	Charlotte.
100102		0.0125	Columbia.
100118	*	0.0398	Flagler.
100156		0.0125	Columbia.
100175		0.0231	De Soto.
100212		0.0060	Marion.
100232		0.0347	Putnam.
100236		0.0021	Charlotte.
100252	*	0.0233	Okeechobee.
100290		0.0582	Sumter.
110023	*	0.0500	Gordon.
110027		0.0387	Franklin.
110029	*	0.0063	Hall.
110041	*	0.0777	Habersham.
110069	*	0.0474	Houston.
110124		0.0428	Wayne.
110136		0.0261	Baldwin.
110150	*	0.0261	Baldwin.
110153	*	0.0474	Houston.
110187	*	0.1172	Lumpkin.
110189	*	0.0031	Fannin.
110190		0.0182	Macon.
110205	*	0.0779	Gilmer.
114018		0.0261	Baldwin.
130003	*	0.0095	Nez Perce.
130024		0.0275	Bonner.
130049	*	0.0349	Kootenai.
130066		0.0349	Kootenai.
140012	*	0.0220	Lee.
140026		0.0346	La Salle.
140033		0.0147	Lake.
140043	*	0.0046	Whiteside.
140058	*	0.0081	Morgan.
140084		0.0147	Lake.
140100		0.0147	Lake.
140110	*	0.0346	La Salle.
140130		0.0147	Lake.
140155		0.0027	Kankakee.
140160	*	0.0286	Stephenson.
140161	*	0.0138	Livingston.
140186		0.0027	Kankakee.
140202		0.0147	Lake.
140205		0.0163	Boone.
140234	*	0.0346	La Salle.
140291	*	0.0147	Lake.
150022		0.0249	Montgomery.
150030	*	0.0201	Henry.
150035		0.0083	Porter.
150045		0.0416	De Kalb.
150060		0.0051	Vermillion.
150062		0.0153	Decatur.
150065	*	0.0139	Jackson.
150076	*	0.0189	Marshall.
150088	*	0.0196	Madison.
150091		0.0573	Huntington.
150102	*	0.0160	Starke.
150113	*	0.0196	Madison.
150122		0.0199	Ripley.
154047		0.0189	Marshall.
154050		0.0416	De Kalb.
160013		0.0218	Muscatine.
160026	*	0.0496	Boone.
160030		0.0040	Story.
160032		0.0272	Jasper.
160080	*	0.0049	Clinton.
170137	*	0.0336	Douglas.
180012	*	0.0083	Hardin.
180066	*	0.0567	Logan.
180127	*	0.0352	Franklin.
180128		0.0282	Lawrence.
183028		0.0083	Hardin.
184012		0.0083	Hardin.
190001	*	0.0645	Washington.
190003	*	0.0107	Iberia.
190010		0.0401	Tangipahoa.
190015	*	0.0401	Tangipahoa.
190017		0.0235	St. Landry.
190054		0.0107	Iberia.
190078		0.0235	St. Landry.
190088		0.0705	Webster.
190099	*	0.0390	Avoyelles.
190106	*	0.0238	Allen.
190133		0.0238	Allen.
190144		0.0705	Webster.
190184		0.0161	Caldwell.
190190		0.0161	Caldwell.
190191	*	0.0235	St. Landry.
190246		0.0161	Caldwell.
192034		0.0235	St. Landry.
192036		0.0401	Tangipahoa.
192040		0.0401	Tangipahoa.
192046		0.0645	Washington.
193044		0.0401	Tangipahoa.
193055		0.0161	Caldwell.
193063		0.0401	Tngipahoa.
193068		0.0401	Tangipahoa.
193073		0.0235	St. Landry.
193091		0.0107	Iberia.
194047		0.0705	Webster.
200002	*	0.0129	Lincoln.
200013		0.0186	Waldo.
200024	*	0.0071	Androscoggin.
200032		0.0466	Oxford.
200034	*	0.0071	Androscoggin.
200050	*	0.0140	Hancock.
210001		0.0129	Washington.
210004		0.0040	Montgomery.
210016		0.0040	Montgomery.
210018		0.0040	Montgomery.
210022		0.0040	Montgomery.
210023		0.0209	Ann Arundel.
210043		0.0209	Ann Arundel.
210048		0.0287	Howard.
210057		0.0040	Montgomery.
212002		0.0129	Washington.
213029		0.0040	Montgomery.
214001		0.0209	Ann Arundel.
214003		0.0129	Washington.
214013		0.0040	Montgomery.
220001	*	0.0056	Worcester.
220002		0.0249	Middlesex.
220003	*	0.0056	Worcester.
220006		0.0306	Essex.
220010	*	0.0306	Essex.
220011		0.0249	Middlesex.
220019	*	0.0056	Worcester.
220025	*	0.0056	Worcester.
220028	*	0.0056	Worcester.
220029	*	0.0306	Essex.
220033	*	0.0306	Essex.
220035	*	0.0306	Essex.
220049		0.0249	Middlesex.
220058	*	0.0056	Worcester.
220062	*	0.0056	Worcester.
220063		0.0249	Middlesex.
220070		0.0249	Middlesex.
220080	*	0.0306	Essex.
220082		0.0249	Middlesex.
220084		0.0249	Middlesex.
220089		0.0249	Middlesex.
220090	*	0.0056	Worcester.
220095	*	0.0056	Worcester.
220098		0.0249	Middlesex.
220101		0.0249	Middlesex.
220105		0.0249	Middlesex.
220163	*	0.0056	Worcester.
220171		0.0240	Middlesex.
220174	*	0.0306	Essex.
222000		0.0249	Middlesex.
222003		0.0249	Middlesex.
222026		0.0306	Essex.
222044		0.0306	Essex.
222047		0.0306	Essex.
222048		0.0056	Worcester.
223026		0.0249	Middlesex.
223028		0.0306	Essex.
223029		0.0056	Worcester.
223033		0.0056	Worcester.
224007		0.0249	Middlesex.
224002		0.0249	Middlesex.
224026		0.0056	Worcester.
224032		0.0056	Worcester.
224033		0.0306	Essex.
224038		0.0249	Middlesex.
230003	*	0.0035	Ottawa.
230013	*	0.0091	Oakland.
230015		0.0359	St. Joseph.
230019	*	0.0091	Oakland.
230021		0.0136	Berrien.
230022	*	0.0113	Branch.
230029	*	0.0091	Oakland.
230037	*	0.0178	Hillsdale.
230041		0.0099	Bay.
230042	*	0.0685	Allegan.
230047	*	0.0082	MACOMB.
230069	*	0.0487	Livingston.
230071	*	0.0091	Oakland.
230072	*	0.0035	Ottawa.
230075		0.0145	Calhoun.
230078	*	0.0136	Berrien.
230092		0.0389	Jackson.
230093	*	0.0079	Mecosta.
230096	*	0.0359	St. Joseph.
230099	*	0.0339	Monroe.
230106	*	0.0030	Newaygo.
230121	*	0.0691	Shiawassee.
230130	*	0.0091	Oakland.
230151	*	0.0091	Oakland.
230174	*	0.0035	Ottawa.
230184		0.0389	Jackson.
230195	*	0.0082	Macomb.
230204	*	0.0082	Macomb.
230207	*	0.0091	Oakland.
230217	*	0.0145	Calhoun.
230222		0.0228	Midland.
230223	*	0.0091	Oakland.
230227	*	0.0082	Macomb.
230254	*	0.0091	Oakland.
230257	*	0.0082	Macomb.
230264	*	0.0082	Macomb.
230269	*	0.0091	Oakland.
230277	*	0.0091	Oakland.
230279	*	0.0487	Livingston.
232020		0.0099	Bay.
232023		0.0082	Macomb.
232025		0.0136	Berrien.
232028		0.0145	Calhoun.
232034		0.0685	Allegan.
232036		0.0389	Jackson.
233025		0.0145	Calhoun.
233028		0.0091	Oakland.
233031		0.0082	Macomb.
234011		0.0091	Oakland.
234021		0.0082	Macomb.
234023		0.0091	Oakland.
234024		0.0082	Macomb.
234037		0.0145	Calhoun.
240013	*	0.0226	Morrison.
240018	*	0.1196	Goodhue.
240021		0.0920	Le Sueur.
240044		0.0868	Winona.
240064	*	0.0138	Itasca.
240069	*	0.0419	Steele.
240071	*	0.0454	Rice.
240152	*	0.0735	Kanabec.
240154		0.0138	Itasca.
240187	*	0.0506	Mc Leod.
240211	*	0.0705	Pine.
250040	*	0.0294	Jackson.
250045		0.0042	Hancock.
254009		0.0294	Jackson.
260011		0.0007	Cole.
260025	*	0.0078	Marion.
260047	*	0.0007	Cole.
260074	*	0.0158	Randolph.
260097		0.0425	Johnson.
260127		0.0158	Pike.
280054		0.0137	Gage.
280077	*	0.0089	Dodge.
280123		0.0137	Gage.
290019	*	0.0026	Carson City.
290049		0.0026	Carson City.
293029		0.0026	Carson City.
300011	*	0.0069	Hillsborough.
300012	*	0.0069	Hillsborough.
300017		0.0361	Rockingham.
300020	*	0.0069	Hillsborough.
300023		0.0361	Rockingham.
300029		0.0361	Rockingham.
300034	*	0.0069	Hillsborough.
303026		0.0361	Rockingham.
304001		0.0361	Rockingham.
310002	*	0.0351	Essex.
310009	*	0.0351	Essex.
310010		0.0092	Mercer.
310011		0.0115	Cape May.
310013	*	0.0351	Essex.
310018	*	0.0351	Essex.
310021	*	0.0092	Mercer.
310038	*	0.0350	Middlesex.
310039		0.0350	Middlesex.
310044		0.0092	Mercer.
310054	*	0.0351	Essex.
310070	*	0.0350	Middlesex.
310076	*	0.0351	Essex.
310078	*	0.0351	Essex.
310083	*	0.0351	Essex.
310092		0.0092	Mercer.
310093	*	0.0351	Essex.
310096	*	0.0351	Essex.
310108		0.0350	Middlesex.
310110		0.0092	Mercer.
310119	*	0.0351	Essex.
310123		0.0351	Essex.
310124		0.0350	Middlesex.
312018		0.0350	Middlesex.
313025		0.0351	Essex.
313027		0.0092	Mercer.
314010		0.0351	Essex.
314011		0.0350	Middlesex.
314013		0.0092	Mercer.
314020		0.0351	Essex.
314025		0.0092	Mercer.
320003		0.0629	San Miguel.
320011		0.0442	Rio Arriba.
320018		0.0063	Dona Ana.
320085		0.0063	Dona Ana.
322001		0.0629	San Miguel.
323025		0.0629	San Miguel.
323032		0.0063	Dona Ana.
324007		0.0063	Dona Ana.
324009		0.0063	Dona Ana.
324010		0.0063	Dona Ana.
324011		0.0442	Rio Arriba.
324012		0.0063	Dona Ana.
330004	*	0.0959	Ulster.
330008	*	0.0470	Wyoming.
330027	*	0.0137	Nassau.
330094	*	0.0778	Columbia.
330106	*	0.0137	Nassau.
330126	*	0.0560	Orange.
330135	*	0.0560	Orange.
330167		0.0137	Nassau.
330181	*	0.0137	Nassau.
330182	*	0.0137	Nassau.
330191	*	0.0026	Warren.
330198		0.0137	Nassau.
330205	*	0.0560	Orange.
330209	*	0.0560	Orange.
330224		0.0959	Ulster.
330225		0.0137	Nassau.
330235	*	0.0270	Cayuga.
330259		0.0137	Nassau.
330264	*	0.0560	Orange.
330276		0.0063	Fulton.
330331		0.0137	Nassau.
330332		0.0137	Nassau.
330372		0.0137	Nassau.
330386	*	0.1139	Sullivan.
334017		0.0560	Orange.
334061		0.0560	Orange.
340015		0.0267	Rowan.
340020		0.0207	Lee.
340021	*	0.0216	Cleveland.
340037		0.0216	Cleveland.
340039	*	0.0144	Iredell.
340069	*	0.0053	Wake.
340070		0.0448	Alamance.
340073	*	0.0053	Wake.
340085		0.0377	Davidson.
340096		0.0377	Davidson.
340104		0.0216	Cleveland.
340114	*	0.0053	Wake.
340126	*	0.0161	Wilson.
340127	*	0.0961	Granville.
340129	*	0.0144	Iredell.
340133		0.0308	Martin.
340138	*	0.0053	Wake.
340144	*	0.0144	Iredell.
340145	*	0.0563	Lincoln.
340173	*	0.0053	Wake.
344001		0.0053	Wake.
344004		0.0961	Granville.
344011		0.0053	Wake.
344014		0.0053	Wake.
360013	*	0.0166	Shelby.
360025	*	0.0087	Erie.
360036	*	0.0263	Wayne.
360065	*	0.0141	Huron.
360070		0.0028	Stark.
360078	*	0.0159	Portage.
360084		0.0028	Stark.
360086	*	0.0168	Clark.
360095	*	0.0087	Hancock.
360100		0.0028	Stark.
360107	*	0.0213	Sandusky.
360131		0.0028	Stark.
360151		0.0028	Stark.
360156		0.0213	Sandusky.
360175	*	0.0159	Clinton.
360187	*	0.0168	Clark.
360197	*	0.0092	Logan.
360267		0.0028	Stark.
362007		0.0213	Sandusky.
362032		0.0028	Stark.
364031		0.0028	Stark.
364040		0.0168	Clark.
370004	*	0.0193	Ottawa.
370014	*	0.0831	Bryan.
370015	*	0.0463	Mayes.
370023		0.0084	Stephens.
370065		0.0121	Craig.
370113	*	0.0205	Delaware.
370149		0.0356	Pottawatomie.
370179	*	0.0314	Okfuskee.
374017		0.0193	Ottawa.
380002		0.0130	Josephine.
380008	*	0.0201	Linn.
380022		0.0201	Linn.
380029		0.0075	Marion.
380051		0.0075	Marion.
380056		0.0075	Marion.
384008		0.0075	Marion.
390011		0.0012	Cambria.
390044		0.0200	Berks.
390046		0.0098	York.
390056		0.0042	Huntingdon.
390065	*	0.0501	Adams.
390066	*	0.0259	Lebanon.
390096		0.0200	Berks.
390101		0.0098	York.
390110	*	0.0012	Cambria.
390130		0.0012	Cambria.
390138	*	0.0325	Franklin.
390146		0.0053	Warren.
390150	*	0.0206	Greene.
390151	*	0.0325	Franklin.
390162		0.0200	Northampton.
390201		0.1127	Monroe.
390233		0.0098	York.
392031		0.0102	Cambria.
392034		0.0200	Northampton.
393026		0.0200	Berks.
393037		0.0098	York.
394014		0.0200	Berks.
394016		0.0053	Warren.
394020		0.0259	Lebanon.
420007		0.0001	Spartanburg.
420020	*	0.0035	Georgetown.
420027		0.0210	Anderson.
420030	*	0.0103	Colleton.
420039	*	0.0153	Union.
420043		0.0177	Cherokee.
420068	*	0.0097	Orangeburg.
420070	*	0.0101	Sumter.
420083		0.0001	Spartanburg.
420093		0.0001	Spartanburg.
420098		0.0035	Georgetown.
423029		0.0210	Anderson.
424011		0.0210	Anderson.
440008	*	0.0663	Henderson.
440024		0.0387	Bradley.
440030		0.0056	Hamblen.
440035	*	0.0441	Montgomery.
440047		0.0499	Gibson.
440056		0.0321	Jefferson.
440060	*	0.0499	Gibson.
420063		0.0011	Washington.
440067	*	0.0056	Hamblen.
440073	*	0.0513	Maury.
440105		0.0011	Washington.
440114		0.0523	Lauderdale.
440115		0.0499	Gibson.
440148	*	0.0568	De Kalb.
440153		0.0007	Cocke.
440174		0.0372	Haywood.
440181		0.0407	Hardeman.
440184		0.0011	Washington.
440185	*	0.0387	Bradley.
444006		0.0011	Washington.
444008		0.0407	Hardeman.
450032	*	0.0416	Harrison.
450039	*	0.0097	Tarrant.
450050		0.0750	Ward.
450059	*	0.0073	Comal.
450064	*	0.0097	Tarrant.
450087	*	0.0097	Tarrant.
450099	*	0.0180	Gray.
450121	*	0.0097	Tarrant.
450135	*	0.0097	Tarrant.
450137	*	0.0097	Tarrant.
450144	*	0.0573	Andrews.
450163		0.0134	Kleberg.
450187	*	0.0264	Washington.
450194	*	0.0328	Cherokee.
450214	*	0.0368	Wharton.
450224	*	0.0411	Wood.
450347	*	0.0427	Walker.
450362		0.0486	Burnet.
450370		0.0258	Colorado.
450389	*	0.0881	Henderson.
450395		0.0484	Polk.
450419	*	0.0097	Tarrant.
450438	*	0.0258	Colorado.
450447	*	0.0358	Navarro.
450451	*	0.0551	Somervell.
450465		0.0435	Matagorda.
450547	*	0.0411	WOOD.
450563	*	0.0097	Tarrant.
450565		0.0486	Palo Pinto.
450596		0.0808	Hood.
450597		0.0077	De Witt.
450623	*	0.0492	Fannin.
450626		0.0294	Jackson.
450639	*	0.0097	Tarrant.
450672	*	0.0097	Tarrant.
450675	*	0.0097	Tarrant.
450677	*	0.0097	Tarrant.
450694	*	0.0368	Wharton.
450747	*	0.0195	Anderson.
450755	*	0.0484	Hockley.
450763		0.0236	Hutchinson.
450779	*	0.0097	Tarrant.
450813		0.0195	Anderson.
450858	*	0.0097	Tarrant.
450872	*	0.0097	Tarrant.
450880	*	0.0097	Tarrant.
452018		0.0097	Tarrant.
452019		0.0097	Tarrant.
452028		0.0097	Tarrant.
452088		0.0097	Tarrant.
453040		0.0097	Tarrant.
453041		0.0097	Tarrant.
453042		0.0097	Tarrant.
453089		0.0195	Anderson.
453300		0.0097	Tarrant.
453303		0.0097	Tarrant.
454009		0.0328	Cherokee.
454012		0.0097	Tarrant.
454019		0.0097	Tarrant.
454051		0.0097	Tarrant.
454052		0.0097	Tarrant.
454061		0.0097	Tarrant.
454086		0.0097	Tarrant.
460017		0.0392	Box Elder.
460036	*	0.0700	Wasatch.
460039	*	0.0392	Box Elder.
470018		0.0287	Windsor
490019		0.1240	Culpeper.
490038		0.0022	Smyth.
490047	*	0.0198	Page.
490084		0.0167	Essex.
490105	*	0.0022	Smyth.
490110		0.0082	Montgomery.
494029		0.0022	Smyth.
500003	*	0.0208	Skagit.
500007		0.0208	Skagit.
500019		0.0213	Lewis.
500021		0.0055	Pierce.
500024		0.0023	Thurston.
500039	*	0.0174	Kitsap.
500041	*	0.0118	Cowlitz.
500079		0.0055	Pierce.
500108		0.0055	Pierce.
500122	*	0.0459	Island.
500129		0.0055	Pierce.
500139		0.0023	Thurston.
500143		0.0023	Thurston.
503301		0.0055	Pierece.
504003		0.0055	Pierce.
504010		0.0055	Pierce.
510018	*	0.0209	Jackson.
510028	*	0.0141	Fayette.
510039		0.0112	Ohio.
510047	*	0.0275	Marion.
510050		0.0112	Ohio.
510077	*	0.0021	Mingo.
513025		0.0112	Ohio.
520028	*	0.0157	Green.
520035		0.0077	Sheboygan.
520044		0.0077	SHeboygan.
520057		0.0118	Sauk.
520059	*	0.0200	Racine.
520071	*	0.0239	Jefferson.
520095	*	0.0118	Sauk.
520096	*	0.0200	Racine.
520102	*	0.0298	Walworth.
520116	*	0.0239	Jefferson.
520132		0.0077	Sheboygan.
522005		0.0200	Racine.
523026		0.0200	Racine.
524020		0.0118	Sauk.
524021		0.0298	Walworth.
* Hospitals that have been reclassified under section 1886(d)(10) of the Act, reclassified under section 508 Pub. L. 108-173, or redesignated under section 1886(d)(8) of the Act.

(Catalog of Federal Domestic Assistance Program No. 93.773, Medicare—Hospital Insurance; and Program No. 93.774, Medicare—Supplementary Medical Insurance Program)

Dated: December 20, 2005.

Ann C. Agnew,

Executive Secretary to the Department.