[Federal Register Volume 77, Number 198 (Friday, October 12, 2012)]
[Rules and Regulations]
[Pages 62167-62176]
From the Federal Register Online via the Government Printing Office [www.gpo.gov]
[FR Doc No: 2012-25142]



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DEPARTMENT OF HEALTH AND HUMAN SERVICES

42 CFR Part 88

[Docket No. CDC-2012-0007; NIOSH-257]
RIN 0920-AA49


World Trade Center Health Program; Addition of Certain Types of 
Cancer to the List of WTC-Related Health Conditions

AGENCY: Centers for Disease Control and Prevention, HHS.

ACTION: Final rule; correction.

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SUMMARY: On September 12, 2012, HHS published a final rule in the 
Federal Register adding certain types of cancer to the List of WTC-
Related Health Conditions. The final rule has an effective date of 
October 12, 2012. Several ICD coding errors were made in Table 1, which 
identifies each added cancer type by name and ICD-9 and -10 codes. This 
correction includes the corrected Table 1, in full. No types of cancer 
are being added or removed from Table 1 by this action.

DATES: Effective October 12, 2012.

FOR FURTHER INFORMATION CONTACT: Frank J. Hearl, PE, Chief of Staff, 
National Institute for Occupational Safety and Health, Centers for 
Disease Control and Prevention, Patriots Plaza, Suite 9200, 395 E St. 
SW., Washington, DC 20201. Telephone: (202) 245-0625 (this is not a 
toll-free number). Email: WTCpublicinput@cdc.gov.

SUPPLEMENTARY INFORMATION: On September 12, 2012, HHS published a final 
rule in the Federal Register adding certain types of cancer to the List 
of WTC-Related Health Conditions in 42 CFR 88.1 [77 FR 56138]. Several 
errors were made in the listing of ICD codes for Table 1, which 
identifies each type of cancer added to the List of WTC-Related Health 
Conditions in 42 CFR 88.1. The errors and their corrections are as 
indicated below. No types of cancer are being added or removed from 
Table 1. The following list, organized by ``region'' category, notes 
each error and identifies the correction made:

Head and Neck

    [ssquf] The ICD-9 heading code for ``malignant neoplasm of palate'' 
included an incorrectly identified code, 149.9; that code is stricken 
from the heading. The ICD-9 subcode for ``palate, unspecified'' was 
incorrectly reported as 145.9 and instead should be 145.5.
    [ssquf] The ICD-9 subcode for ``mouth, unspecified'' was 
incorrectly reported as 149.9 and instead should be 145.9.
    [ssquf] The ICD-9 heading code for ``malignant neoplasm of tonsil'' 
included an incorrectly identified code, 146.5; that code is stricken 
from the heading. The ICD-9 subcode for ``overlapping lesion of 
tonsil'' was incorrectly reported as 146.5 and instead should be 146.0.
    [ssquf] The ICD-9 heading codes for ``malignant neoplasm of 
oropharynx'' included an incorrectly excluded 146.5; the header now 
includes it. The ICD-9 subcode for ``branchial cleft'' was incorrectly 
reported as 146.9 and instead should be 146.8. The ICD-9 subcode 146.5 
should have been included for ``overlapping lesion or oropharynx.''
    [ssquf] The ICD-9 heading code 148.2 was added to correct the range 
provided for ``malignant neoplasm of hypopharynx.''
    [ssquf] The ICD-9 subcode 149.9 should have been included for 
``overlapping lesion of lip, oral cavity and pharynx.''
    [ssquf] The ICD-10 heading code for ``malignant neoplasm of nasal 
cavity'' was incorrectly reported as C30 and instead should be C30.0. 
To avoid redundancy and improve clarity, the subcode line for ``nasal 
cavity'' is stricken.

Digestive System

    [ssquf] The ICD-9 heading code 154.8 should have been included for 
``malignant neoplasm of rectum.''
    [ssquf] The ICD-9 heading and subcodes for ``malignant neoplasm of 
other and ill-defined digestive organs'' were incorrectly identified as 
154.8 and instead should be 159.0, 159.8, and 159.9. Accordingly, the 
subcodes for ``intestinal tract, part unspecified,'' ``overlapping 
lesion of digestive system,'' and ``ill-defined sites within the 
digestive system'' should be 159.0, 159.8, and 159.9, respectively.

Respiratory System

    [ssquf] The ICD-9 heading codes for ``malignant neoplasm of heart, 
mediastinum, and pleura'' incorrectly omitted some subcodes in 163; 
therefore, 163.9 instead should be 163. The ICD-9 subcode for 
``pleura'' was incorrectly reported as 163.9 and instead should be 
163.0-163.9.

Skin (Non-Melanoma)

    [ssquf] The ICD-9 heading code for ``other malignant neoplasms of 
skin'' was incorrectly reported as 172 and instead should be 173; the 
heading code also incorrectly included 187.7, that code is stricken. 
The ICD-9 subcodes for ``other malignant neoplasms of skin'' should 
read 173.0--173.9, respectively.

Melanoma

    [ssquf] The ICD-9 subcodes for ``malignant melanoma of lower limb, 
including hip,'' ``overlapping malignant melanoma of skin,'' and 
``malignant melanoma of skin, unspecified,'' were incorrectly reported 
as 173.7, 173.8, and 173.9, respectively. They should instead be 172.7, 
172.8, and 172.9, respectively.

Female Breast

    [ssquf] The description of the region for cancer of the breast is 
clarified to state ``Female Breast,'' and a note is added to the table 
to indicate that ``For the purposes of this rule, ICD-10 C50 is limited 
to cancer of the breast in females.'' At this level of specificity, C50 
does not differentiate by sex and includes both male and female breast 
cancers, whereas ICD-9 code 174 is specific to females.

Urinary System

    [ssquf] The ICD-9 code for ``malignant neoplasm of the bladder'' 
was incorrectly reported as 183.0 and instead should be 188.

Eye & Orbit

    [ssquf] The ICD-9 subcode 190.7 should have been included for 
``lacrimal gland and duct.'' The ICD-9 subcode for ``eye, unspecified'' 
was incorrectly reported as 190.0 and should instead be 190.9.

Blood & Lymphoid Tissue

    [ssquf] The ICD-9 subcode for ``other specified types of non-
Hodgkin lymphoma'' was incorrectly reported as 202.3 and instead should 
be 202.8.
    [ssquf] In the note (*) under Table 1, ICD-9 code 289.8 was 
incorrectly identified as correlating with ICD-10 codes C81-96 and is 
stricken.
    This correction properly corrects the errors listed above by 
replacing Table 1 published in the Federal Register on September 12, 
2012.
    In FR Doc. 2012-22304 published on September 12, 2012 in the 
Federal Register, on pages 56159-56168 the following correction is 
made:


Sec.  88.1  [Corrected]

    1. On page 56159, in paragraph (4) of the definition of ``List of 
WTC-Related Health Conditions'' Table 1 is corrected to read as 
follows:

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    Dated: October 14, 2012.
John Howard,
Administrator, World Trade Center Health Program and Director, National 
Institute for Occupational Safety and Health, Centers for Disease 
Control and Prevention, Department of Health and Human Services.
[FR Doc. 2012-25142 Filed 10-11-12; 8:45 am]
BILLING CODE 4163-18-P