Federal Register / Vol. 77, No. 198 / Friday, October 12, 2012 / Rules and Regulations 62167 

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. 

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 WTCRelated 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 

D 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. 

D The ICD–9 subcode for ‘‘mouth, 

unspecified’’ was incorrectly reported as 

149.9 and instead should be 145.9. 

D 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. 

D 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.’’ 

D The ICD–9 heading code 148.2 was 

added to correct the range provided for 

‘‘malignant neoplasm of hypopharynx.’’ 

D The ICD–9 subcode 149.9 should 

have been included for ‘‘overlapping 

lesion of lip, oral cavity and pharynx.’’ 

D 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 

D The ICD–9 heading code 154.8 

should have been included for 

‘‘malignant neoplasm of rectum.’’ 

D 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 

D 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) 

D 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 

D 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 

D 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 

D The ICD–9 code for ‘‘malignant 

neoplasm of the bladder’’ was 

incorrectly reported as 183.0 and 

instead should be 188. 

Eye & Orbit 

D 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 

D The ICD–9 subcode for ‘‘other 

specified types of non-Hodgkin 

lymphoma’’ was incorrectly reported as 

202.3 and instead should be 202.8. 

D 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: 

§ 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 


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