Schedule for Rating Disabilities-Ear, Nose, Throat, and Audiology Disabilities; Special Provisions Regarding Evaluation of Respiratory Conditions; Schedule for Rating Disabilities-Respiratory System, 74162-74164 [2024-20542]
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74162
Federal Register / Vol. 89, No. 177 / Thursday, September 12, 2024 / Proposed Rules
Commission Proceedings, Order No.
635. The Commission will issue a future
notice with further details.
DATES: Comments due: 5 p.m. Eastern
Time on November 4, 2024.
ADDRESSES: The Commission strongly
encourages electronic submission of
comments in lieu of paper using the
‘‘eFiling’’ link at https://www.ferc.gov.
Persons unable to file electronically may
submit a paper copy. Submissions sent
via the U.S. Postal Service must be
addressed to: Debbie-Anne A. Reese,
Acting Secretary, Federal Energy
Regulatory Commission, 888 First Street
NE, Room 1A, Washington, DC 20426.
Submissions sent via any other carrier
must be addressed to: Debbie-Anne A.
Reese, Acting Secretary, Federal Energy
Regulatory Commission, 12225 Wilkins
Avenue, Rockville, Maryland 20852.
In addition to publishing the full text
of this document in the Federal
Register, the Commission provides all
interested persons an opportunity to
view and/or print the contents of this
document via the internet through the
Commission’s Home Page (https://
www.ferc.gov) using the ‘‘eLibrary’’ link.
Enter the docket number excluding the
last three digits in the docket number
field to access the document. For
assistance, contact FERC at
FERCOnlineSupport@ferc.gov or call
toll-free, (886) 208–3676 or TYY, (202)
502–8659.
FOR FURTHER INFORMATION CONTACT:
Michael G. Henry (Technical
Information), Office of Energy Policy
and Innovation, 202–502–8583,
Michael.Henry@ferc.gov
Lewis Taylor (Legal Information), Office
of General Counsel, 202–502–8624,
Lewis.Taylor@ferc.gov
Elizabeth Molloy (Tribal Liaison), Office
of General Counsel, 202–502–8771,
Elizabeth.Molloy@ferc.gov
SUPPLEMENTARY INFORMATION: Any
person that wishes to comment in this
proceeding must file comments in
accordance with Rule 211 of the
Commission’s Rules of Practice and
Procedure, 18 CFR 385.211. Comments
will be considered by the Commission
in determining the appropriate action to
be taken. Comments must be filed on or
before the comment date.
The Commission’s Office of Public
Participation (OPP) supports meaningful
public engagement and participation in
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landowners, environmental justice
communities, tribal members and
others, access publicly available
information and navigate Commission
processes. For public inquiries and
assistance with making filings,
VerDate Sep<11>2014
16:43 Sep 11, 2024
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comments, or requests for rehearing, the
public is encouraged to contact OPP at
(202) 502–6595 or OPP@ferc.gov.
Dated: September 3, 2024.
Debbie-Anne A. Reese,
Acting Secretary.
[FR Doc. 2024–20312 Filed 9–11–24; 8:45 am]
BILLING CODE 6717–01–P
DEPARTMENT OF VETERANS
AFFAIRS
38 CFR Part 4
RIN 2900–AQ72
Schedule for Rating Disabilities—Ear,
Nose, Throat, and Audiology
Disabilities; Special Provisions
Regarding Evaluation of Respiratory
Conditions; Schedule for Rating
Disabilities—Respiratory System
Department of Veterans Affairs.
Supplemental notice of
proposed rulemaking.
AGENCY:
ACTION:
The Department of Veterans
Affairs (VA) is issuing a supplemental
notice of proposed rulemaking (SNPRM)
that proposes to add a diagnostic code
(DC) for constrictive bronchiolitis (or
obliterative bronchiolitis) (CB) to the
regulations that govern the respiratory
system.
SUMMARY:
Comments must be received on
or before October 15, 2024.
ADDRESSES: Comments must be
submitted through www.regulations.gov.
Except as provided below, comments
received before the close of the
comment period will be available at
www.regulations.gov for public viewing,
inspection, or copying, including any
personally identifiable or confidential
business information that is included in
a comment. We post the comments
received before the close of the
comment period on
www.regulations.gov as soon as possible
after they have been received. VA will
not post on Regulations.gov public
comments that make threats to
individuals or institutions or suggest
that the commenter will take actions to
harm an individual. VA encourages
individuals not to submit duplicative
comments; however, we will post
comments from multiple unique
commenters even if the content is
identical or nearly identical to other
comments. Any public comment
received after the comment period’s
closing date is considered late and will
not be considered in the final
rulemaking. In accordance with the
Providing Accountability Through
DATES:
PO 00000
Frm 00026
Fmt 4702
Sfmt 4702
Transparency Act of 2023, a plain
language summary (not more than 100
words in length) of this SNPRM is
available at www.regulations.gov, under
RIN 2900–AQ72.
FOR FURTHER INFORMATION CONTACT:
Rodney Grimm and Terence Koontzy,
Regulations Analysts, VASRD
Regulations Staff (218A), Compensation
Service (21C), Department of Veterans
Affairs, 810 Vermont Avenue NW,
Washington, DC 20420, (202) 461–9700.
(This is not a toll-free telephone
number.)
SUPPLEMENTARY INFORMATION: On
February 15, 2022, VA published a
proposed rulemaking in the Federal
Register (See 87 FR 8474) that proposes
to amend its regulations that govern the
ear, nose, throat, audiology, and
respiratory systems. Within this
rulemaking, VA proposed to add a
General Rating Formula for Respiratory
Conditions to evaluate several
respiratory conditions currently
contained within 38 CFR 4.97, Schedule
of ratings—respiratory system. VA will
address all the public comments
received on the proposed rule and any
public comments VA receives on this
SNPRM in the final rulemaking.
I. A Diagnostic Code (DC) for
Constrictive Bronchiolitis (CB)
On August 10, 2022, the Sergeant
First Class Heath Robinson Honoring
our Promise to Address Comprehensive
Toxics (PACT) Act, Public Law 117–
168, was signed into law to improve
access to VA benefits and health care for
Veterans who were exposed to toxic
substances during their military service.
This action occurred after VA published
its proposed rule to update § 4.97.
Section 406 of the PACT Act added 38
U.S.C 1120 to establish presumptive
service connection for diseases related
to exposure to burn pit and other toxins.
Among the respiratory conditions
included within section 406, CB is the
only condition without its own DC
within the VA Schedule for Rating
Disabilities (VASRD). Therefore, VA is
proposing in this SNPRM to add DC
6605 for CB. The CB addition is the only
proposal of this SNPRM, and VA is
seeking public comment on this issue
only.
At present, VA does not have a
specific DC for CB. When VA
encounters disabilities not listed in the
VASRD, VA rates them analogously to a
listed condition that is closely related
(similar anatomical location, impacted
functionality, and/or symptomology) in
accordance with 38 CFR 4.20. Thus, VA
currently evaluates CB under one of the
closely related respiratory conditions
E:\FR\FM\12SEP1.SGM
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Federal Register / Vol. 89, No. 177 / Thursday, September 12, 2024 / Proposed Rules
found under § 4.97. Although § 4.20
allows VA to appropriately evaluate CB,
the addition of a unique DC will enable
VA to easily track claims and decision
outcomes for this condition.
II. Rating CB
VA currently uses pulmonary
function test (PFTs) as the primary
evaluative criteria for many of the
respiratory conditions found under
§ 4.97 because medical researchers
suggest that ‘‘[PFTs] are the cornerstone
for evaluating respiratory impairment.’’
See Sood, A. (2014). Performing a lung
disability evaluation: How, when, and
why?. Journal of Occupational and
Environmental Medicine, 56 Suppl 10(0
10), S23–S29. Doi: 10.1097/
JOM.0000000000000282. The proposed
rule published on February 15, 2022, set
forth a General Rating Formula for
Respiratory Conditions to evaluate
respiratory conditions based on PFT
findings, maximum oxygen
consumption, or metabolic equivalents.
See 87 FR 8476. VA proposes to rate CB
using that General Rating Formula.
To be clear, this SNPRM does not
change VA’s proposal for the General
Rating Formula; it simply adds for CB
a DC that would use the General Rating
Formula. To reiterate, VA is seeking
comments on the CB issue only, to
include whether the proposed General
Rating Formula for Respiratory
Conditions is appropriate for evaluating
CB.
Executive Orders 12866, 13563 and
14094
ddrumheller on DSK120RN23PROD with PROPOSALS1
Executive Order 12866 (Regulatory
Planning and Review) directs agencies
to assess the costs and benefits of
available regulatory alternatives and,
when regulation is necessary, to select
regulatory approaches that maximize
net benefits (including potential
economic, environmental, public health
and safety effects, and other advantages;
distributive impacts; and equity).
Executive Order 13563 (Improving
Regulation and Regulatory Review)
emphasizes the importance of
quantifying both costs and benefits,
reducing costs, harmonizing rules, and
promoting flexibility. Executive Order
14094 (Executive Order on Modernizing
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16:43 Sep 11, 2024
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Regulatory Review) supplements and
reaffirms the principles, structures, and
definitions governing contemporary
regulatory review established in
Executive Order 12866 of September 30,
1993 (Regulatory Planning and Review),
and Executive Order 13563 of January
18, 2011 (Improving Regulation and
Regulatory Review). The Office of
Information and Regulatory Affairs has
determined that this rulemaking is a
significant regulatory action under
Executive Order 12866, as amended by
Executive Order 14094. The Regulatory
Impact Analysis associated with this
rulemaking can be found as a
supporting document at
www.regulations.gov.
Regulatory Flexibility Act
The added DC contained in this
SNPRM would not have a significant
economic impact on a substantial
number of small entities because only
VA officials process and assign DCs for
Veterans. On this basis, the Secretary
hereby certifies that this SNPRM would
not have a significant economic impact
on a substantial number of small entities
as they are defined in the Regulatory
Flexibility Act (5 U.S.C. 601–612).
Therefore, pursuant to 5 U.S.C. 605(b),
the initial and final regulatory flexibility
analysis requirements of 5 U.S.C. 603
and 604 do not apply.
Unfunded Mandates
The Unfunded Mandates Reform Act
of 1995 requires, at 2 U.S.C. 1532, that
agencies prepare an assessment of
anticipated costs and benefits before
issuing any rule that may result in the
expenditure by State, local, and tribal
governments, in the aggregate, or by the
private sector, of $100 million or more
(adjusted annually for inflation) in any
one year. This SNPRM would have no
such effect on State, local, and tribal
governments, or on the private sector.
Paperwork Reduction Act
This SNPRM contains no provisions
constituting a collection of information
under the Paperwork Reduction Act of
1995 (44 U.S.C. 3501–3521).
Assistance Listing
The Assistance Listing numbers and
titles for this proposed rule are 64.104,
PO 00000
Frm 00027
Fmt 4702
Sfmt 4702
74163
Pension for Non-Service-Connected
Disability for Veterans; 64.109, Veterans
Compensation for Service-Connected
Disability; and 64.110, Veterans
Dependency and Indemnity
Compensation for Service-Connected
Death.
List of Subjects in 38 CFR Part 4
Disability benefits, Pensions,
Veterans.
Signing Authority
Denis McDonough, Secretary of
Veterans Affairs, approved and signed
this document on September 5, 2024,
and authorized the undersigned to sign
and submit the document to the Office
of the Federal Register for publication
electronically as an official document of
the Department of Veterans Affairs.
Luvenia Potts,
Regulation Development Coordinator, Office
of Regulation Policy & Management, Office
of General Counsel, Department of Veterans
Affairs.
For the reasons stated in the
preamble, VA proposes to amend 38
CFR part 4 as set forth below:
PART 4—SCHEDULE FOR RATING
DISABILITIES
1. The authority citation for part 4,
subpart B continues to read as follows:
■
Authority: 38 U.S.C. 1155, unless
otherwise noted.
Subpart B—Disability Ratings
2. Revise § 4.96 by revising paragraph
(c) to read as follows:
■
§ 4.96 Special provisions regarding
evaluation of respiratory conditions.
*
*
*
*
*
(c) Special provisions for the
application of evaluation criteria for
diagnostic codes 6600 through 6605,
6731, 6820, 6825 through 6833, 6840
through 6846, and 6848.
*
*
*
*
*
■ 3. Amend § 4.97 by adding, in
numerical order, an entry for diagnostic
code 6605 to read as follows:
§ 4.97 Schedule of ratings-respiratory
system.
E:\FR\FM\12SEP1.SGM
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74164
Federal Register / Vol. 89, No. 177 / Thursday, September 12, 2024 / Proposed Rules
Rating
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INTRINSIC LUNG DISEASES
Airway Disorders (Trachea, Bronchi)
6605
*
*
*
Constrictive bronchiolitis or obliterative bronchiolitis.
*
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4. Amend appendix A to part 4 by
adding, in numerical order, an entry for
diagnostic code 6605 to read as follows:
■
Sec.
Appendix A to Part 4—Table of
Amendments and Effective Dates Since
1946
Diagnostic code No.
*
*
*
6605
*
*
*
5. Amend appendix B to part 4 by
adding, in numerical order, an entry for
diagnostic code 6605 to read as follows:
■
*
*
Added [Effective date of the Final Rule].
*
*
Appendix B to Part 4—Numerical Index
of Disabilities
Diagnostic code No.
*
*
*
*
THE RESPIRATORY SYSTEM
Airway Disorders (Trachea, Bronchi)
*
6605 ...........................
*
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*
*
Constrictive bronchiolitis or obliterative broncholitis.
*
*
6. Amend appendix C to part 4 by
adding, in numerical order, an entry for
diagnostic code 6605 to read as follows:
■
*
Appendix C to Part 4—Alphabetical
Index of Disabilities
Diagnostic code No.
*
*
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*
*
*
Constrictive bronchiolitis or obliterative bronchiolitis ...............................................................................................................
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[FR Doc. 2024–20542 Filed 9–11–24; 8:45 am]
BILLING CODE 8320–01–P
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Jkt 262001
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Fmt 4702
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6605
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Agencies
[Federal Register Volume 89, Number 177 (Thursday, September 12, 2024)]
[Proposed Rules]
[Pages 74162-74164]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-20542]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF VETERANS AFFAIRS
38 CFR Part 4
RIN 2900-AQ72
Schedule for Rating Disabilities--Ear, Nose, Throat, and
Audiology Disabilities; Special Provisions Regarding Evaluation of
Respiratory Conditions; Schedule for Rating Disabilities--Respiratory
System
AGENCY: Department of Veterans Affairs.
ACTION: Supplemental notice of proposed rulemaking.
-----------------------------------------------------------------------
SUMMARY: The Department of Veterans Affairs (VA) is issuing a
supplemental notice of proposed rulemaking (SNPRM) that proposes to add
a diagnostic code (DC) for constrictive bronchiolitis (or obliterative
bronchiolitis) (CB) to the regulations that govern the respiratory
system.
DATES: Comments must be received on or before October 15, 2024.
ADDRESSES: Comments must be submitted through www.regulations.gov.
Except as provided below, comments received before the close of the
comment period will be available at www.regulations.gov for public
viewing, inspection, or copying, including any personally identifiable
or confidential business information that is included in a comment. We
post the comments received before the close of the comment period on
www.regulations.gov as soon as possible after they have been received.
VA will not post on Regulations.gov public comments that make threats
to individuals or institutions or suggest that the commenter will take
actions to harm an individual. VA encourages individuals not to submit
duplicative comments; however, we will post comments from multiple
unique commenters even if the content is identical or nearly identical
to other comments. Any public comment received after the comment
period's closing date is considered late and will not be considered in
the final rulemaking. In accordance with the Providing Accountability
Through Transparency Act of 2023, a plain language summary (not more
than 100 words in length) of this SNPRM is available at
www.regulations.gov, under RIN 2900-AQ72.
FOR FURTHER INFORMATION CONTACT: Rodney Grimm and Terence Koontzy,
Regulations Analysts, VASRD Regulations Staff (218A), Compensation
Service (21C), Department of Veterans Affairs, 810 Vermont Avenue NW,
Washington, DC 20420, (202) 461-9700. (This is not a toll-free
telephone number.)
SUPPLEMENTARY INFORMATION: On February 15, 2022, VA published a
proposed rulemaking in the Federal Register (See 87 FR 8474) that
proposes to amend its regulations that govern the ear, nose, throat,
audiology, and respiratory systems. Within this rulemaking, VA proposed
to add a General Rating Formula for Respiratory Conditions to evaluate
several respiratory conditions currently contained within 38 CFR 4.97,
Schedule of ratings--respiratory system. VA will address all the public
comments received on the proposed rule and any public comments VA
receives on this SNPRM in the final rulemaking.
I. A Diagnostic Code (DC) for Constrictive Bronchiolitis (CB)
On August 10, 2022, the Sergeant First Class Heath Robinson
Honoring our Promise to Address Comprehensive Toxics (PACT) Act, Public
Law 117-168, was signed into law to improve access to VA benefits and
health care for Veterans who were exposed to toxic substances during
their military service. This action occurred after VA published its
proposed rule to update Sec. 4.97. Section 406 of the PACT Act added
38 U.S.C 1120 to establish presumptive service connection for diseases
related to exposure to burn pit and other toxins. Among the respiratory
conditions included within section 406, CB is the only condition
without its own DC within the VA Schedule for Rating Disabilities
(VASRD). Therefore, VA is proposing in this SNPRM to add DC 6605 for
CB. The CB addition is the only proposal of this SNPRM, and VA is
seeking public comment on this issue only.
At present, VA does not have a specific DC for CB. When VA
encounters disabilities not listed in the VASRD, VA rates them
analogously to a listed condition that is closely related (similar
anatomical location, impacted functionality, and/or symptomology) in
accordance with 38 CFR 4.20. Thus, VA currently evaluates CB under one
of the closely related respiratory conditions
[[Page 74163]]
found under Sec. 4.97. Although Sec. 4.20 allows VA to appropriately
evaluate CB, the addition of a unique DC will enable VA to easily track
claims and decision outcomes for this condition.
II. Rating CB
VA currently uses pulmonary function test (PFTs) as the primary
evaluative criteria for many of the respiratory conditions found under
Sec. 4.97 because medical researchers suggest that ``[PFTs] are the
cornerstone for evaluating respiratory impairment.'' See Sood, A.
(2014). Performing a lung disability evaluation: How, when, and why?.
Journal of Occupational and Environmental Medicine, 56 Suppl 10(0 10),
S23-S29. Doi: 10.1097/JOM.0000000000000282. The proposed rule published
on February 15, 2022, set forth a General Rating Formula for
Respiratory Conditions to evaluate respiratory conditions based on PFT
findings, maximum oxygen consumption, or metabolic equivalents. See 87
FR 8476. VA proposes to rate CB using that General Rating Formula.
To be clear, this SNPRM does not change VA's proposal for the
General Rating Formula; it simply adds for CB a DC that would use the
General Rating Formula. To reiterate, VA is seeking comments on the CB
issue only, to include whether the proposed General Rating Formula for
Respiratory Conditions is appropriate for evaluating CB.
Executive Orders 12866, 13563 and 14094
Executive Order 12866 (Regulatory Planning and Review) directs
agencies to assess the costs and benefits of available regulatory
alternatives and, when regulation is necessary, to select regulatory
approaches that maximize net benefits (including potential economic,
environmental, public health and safety effects, and other advantages;
distributive impacts; and equity). Executive Order 13563 (Improving
Regulation and Regulatory Review) emphasizes the importance of
quantifying both costs and benefits, reducing costs, harmonizing rules,
and promoting flexibility. Executive Order 14094 (Executive Order on
Modernizing Regulatory Review) supplements and reaffirms the
principles, structures, and definitions governing contemporary
regulatory review established in Executive Order 12866 of September 30,
1993 (Regulatory Planning and Review), and Executive Order 13563 of
January 18, 2011 (Improving Regulation and Regulatory Review). The
Office of Information and Regulatory Affairs has determined that this
rulemaking is a significant regulatory action under Executive Order
12866, as amended by Executive Order 14094. The Regulatory Impact
Analysis associated with this rulemaking can be found as a supporting
document at www.regulations.gov.
Regulatory Flexibility Act
The added DC contained in this SNPRM would not have a significant
economic impact on a substantial number of small entities because only
VA officials process and assign DCs for Veterans. On this basis, the
Secretary hereby certifies that this SNPRM would not have a significant
economic impact on a substantial number of small entities as they are
defined in the Regulatory Flexibility Act (5 U.S.C. 601-612).
Therefore, pursuant to 5 U.S.C. 605(b), the initial and final
regulatory flexibility analysis requirements of 5 U.S.C. 603 and 604 do
not apply.
Unfunded Mandates
The Unfunded Mandates Reform Act of 1995 requires, at 2 U.S.C.
1532, that agencies prepare an assessment of anticipated costs and
benefits before issuing any rule that may result in the expenditure by
State, local, and tribal governments, in the aggregate, or by the
private sector, of $100 million or more (adjusted annually for
inflation) in any one year. This SNPRM would have no such effect on
State, local, and tribal governments, or on the private sector.
Paperwork Reduction Act
This SNPRM contains no provisions constituting a collection of
information under the Paperwork Reduction Act of 1995 (44 U.S.C. 3501-
3521).
Assistance Listing
The Assistance Listing numbers and titles for this proposed rule
are 64.104, Pension for Non-Service-Connected Disability for Veterans;
64.109, Veterans Compensation for Service-Connected Disability; and
64.110, Veterans Dependency and Indemnity Compensation for Service-
Connected Death.
List of Subjects in 38 CFR Part 4
Disability benefits, Pensions, Veterans.
Signing Authority
Denis McDonough, Secretary of Veterans Affairs, approved and signed
this document on September 5, 2024, and authorized the undersigned to
sign and submit the document to the Office of the Federal Register for
publication electronically as an official document of the Department of
Veterans Affairs.
Luvenia Potts,
Regulation Development Coordinator, Office of Regulation Policy &
Management, Office of General Counsel, Department of Veterans Affairs.
For the reasons stated in the preamble, VA proposes to amend 38 CFR
part 4 as set forth below:
PART 4--SCHEDULE FOR RATING DISABILITIES
0
1. The authority citation for part 4, subpart B continues to read as
follows:
Authority: 38 U.S.C. 1155, unless otherwise noted.
Subpart B--Disability Ratings
0
2. Revise Sec. 4.96 by revising paragraph (c) to read as follows:
Sec. 4.96 Special provisions regarding evaluation of respiratory
conditions.
* * * * *
(c) Special provisions for the application of evaluation criteria
for diagnostic codes 6600 through 6605, 6731, 6820, 6825 through 6833,
6840 through 6846, and 6848.
* * * * *
0
3. Amend Sec. 4.97 by adding, in numerical order, an entry for
diagnostic code 6605 to read as follows:
Sec. 4.97 Schedule of ratings-respiratory system.
[[Page 74164]]
------------------------------------------------------------------------
Rating
------------------------------------------------------------------------
* * * * * * *
------------------------------------------------------------------------
INTRINSIC LUNG DISEASES
Airway Disorders (Trachea, Bronchi)
------------------------------------------------------------------------
* * * * * * *
6605 Constrictive bronchiolitis or
obliterative bronchiolitis.
* * * * * * *
------------------------------------------------------------------------
0
4. Amend appendix A to part 4 by adding, in numerical order, an entry
for diagnostic code 6605 to read as follows:
Appendix A to Part 4--Table of Amendments and Effective Dates Since
1946
----------------------------------------------------------------------------------------------------------------
Sec. Diagnostic code No.
----------------------------------------------------------------------------------------------------------------
* * * * * * *
6605 Added [Effective date of the Final Rule].
* * * * * * *
----------------------------------------------------------------------------------------------------------------
0
5. Amend appendix B to part 4 by adding, in numerical order, an entry
for diagnostic code 6605 to read as follows:
Appendix B to Part 4--Numerical Index of Disabilities
------------------------------------------------------------------------
Diagnostic code No.
------------------------------------------------------------------------
* * * * * * *
------------------------------------------------------------------------
THE RESPIRATORY SYSTEM
Airway Disorders (Trachea, Bronchi)
------------------------------------------------------------------------
* * * * * * *
6605........................ Constrictive bronchiolitis or obliterative
broncholitis.
* * * * * * *
------------------------------------------------------------------------
0
6. Amend appendix C to part 4 by adding, in numerical order, an entry
for diagnostic code 6605 to read as follows:
Appendix C to Part 4--Alphabetical Index of Disabilities
------------------------------------------------------------------------
Diagnostic code No.
------------------------------------------------------------------------
* * * * * * *
Constrictive bronchiolitis or obliterative 6605
bronchiolitis....................................
* * * * * * *
------------------------------------------------------------------------
[FR Doc. 2024-20542 Filed 9-11-24; 8:45 am]
BILLING CODE 8320-01-P