The proposed changes in the direct PE supply inputs discussed on page 43293 of the proposed rule were inadvertently omitted from the proposed direct PE input database.  The following table displays the summed direct costs and the calcuation of the resulting nonfacility PE RVUs for all codes addressed by the proposal. 																
																
	Step	Source	Formula	64650 Chemodenerv eccrine glands	64653 Chemodenerv eccrine glands	77422 Neutron beam tx simple	77423 Neutron beam tx complex	88363 Xm archive tissue molec anal	93229 Remote 30 day ecg tech supp	93268 ECG record/ review^	"93271 
Ecg/
monitoring and analysis^"	96101 Psycho testing by psych/phys	96102 Psycho testing by technician	96103 Psycho testing admin by comp	96120 Neuropsych tst admin w/comp	99174 Ocular instrumnt screen bil
(1) Labor cost (Lab)	Step 1	AMA		11.84	11.84	27.73	42.73	2.64	108	61.05	52.91	0	23.64	0	7.88	4.44
(2) Supply cost (Sup)	Step 1	AMA		9.67	9.67	0.88	0.88	0	11.63	11.32	11.32	0.25	0.8	0.02	0.36	0.5
(3) Equipment cost (Eqp)	Step 1	AMA		0.89	0.89	0.53	0.6	0.23	719.2	114.4	114.4	0.15	0.25	0.64	3.88	0
(4) Direct cost (Dir)	Step 1		=(1)+(2)+(3)	22.4	22.4	29.13	44.21	2.87	838.9	186.7	178.6	0.39	24.68	0.66	12.13	4.94
(5) Direct adjustment (Dir. Adj.)	Steps 2-4	See footnote*		0.543	0.543	0.543	0.543	0.543	0.543	0.543	0.543	0.543	0.543	0.543	0.543	0.543
(6) Adjusted Labor	Steps 2-4	=Labor * Dir Adj	=(1)*(5)	6.43	6.43	15.06	23.2	1.43	58.67	33.15	28.73	0	12.84	0	4.28	2.41
(7) Adjusted Supplies	Steps 2-4	=Eqp * Dir Adj	=(2)*(5)	5.25	5.25	0.48	0.48	0	6.32	6.15	6.15	0.13	0.43	0.01	0.2	0.27
(8) Adjusted Equipment	Steps 2-4	=Sup * Dir Adj	=(3)*(5)	0.49	0.49	0.29	0.33	0.12	390.5	62.11	62.11	0.08	0.13	0.35	2.11	0
(9) Adjusted Direct	Steps 2-4		=(6)+(7)+(8)	12.16	12.16	15.82	24.01	1.56	455.5	101.4	96.99	0.21	13.4	0.36	6.59	2.68
(10) Conversion Factor (CF)	Step 5	PFS		34.023	34.023	34.023	34.023	34.023	34.023	34.023	34.023	34.023	34.023	34.023	34.023	34.023
(11) Adj. labor cost converted	Step 5	=(Lab * Dir Adj)/CF	=(6)/(10)	0.19	0.19	0.44	0.68	0.04	1.72	0.97	0.84	0	0.38	0	0.13	0.07
(12) Adj. supply cost converted	Step 5	=(Sup * Dir Adj)/CF	=(7)/(10)	0.15	0.15	0.01	0.01	0	0.19	0.18	0.18	0	0.01	0	0.01	0.01
(13) Adj. equipment cost converted	Step 5	=(Eqp * Dir Adj)/CF	=(8)/(10)	0.01	0.01	0.01	0.01	0	11.48	1.83	1.83	0	0	0.01	0.06	0
(14) Adj. direct cost converted	Step 5		=(11)+(12)+(13)	0.36	0.36	0.46	0.71	0.05	13.39	2.98	2.85	0.01	0.39	0.01	0.19	0.08
(15) Work RVU	Setup File	PFS		0.7	0.88	0	0	0.37	0	0.52	0	1.86	0.5	0.51	0.51	0
(16) Dir_pct	"Steps 6,7"	Surveys		0.18	0.31	0.26	0.43	0.3	0.31	0.31	0.31	0.31	0.31	0.31	0.31	0.26
(17) Ind_pct	"Steps 6,7"	Surveys		0.82	0.69	0.74	0.57	0.7	0.69	0.69	0.69	0.69	0.69	0.69	0.69	0.74
(18) Ind. Alloc. Formula (1st part)	Step 8	See Step 8		((14)/(16)*(17)	((14)/(16)*(17)	((14)/(16)*(17)	((14)/(16)*(17)	((14)/(16)*(17)	((14)/(16)*(17)	((14)/(16)*(17)	((14)/(16)*(17)	((14)/(16)*(17)	((14)/(16)*(17)	((14)/(16)*(17)	((14)/(16)*(17)	((14)/(16)*(17)
(19) Ind. Alloc.(1st part)	Step 8		See 18	1.11	1.6	1.31	0.92	0.08	14	4.57	4.37	0.08	2.91	0.04	1.08	0.22
(20) Ind. Alloc. Formula (2nd part)	Step 8	See Step 8		-1500%	-1500%	-1100%	-1100%	-1500%	-1100%	(15+11)	-1100%	-1500%	-1500%	-1500%	-1500%	
(21) Ind. Alloc.(2nd part)	Step 8		See 20	0.7	0.88	0.44	0.68	0.37	1.72	1.49	0.84	1.86	0.5	0.51	0.51	0.07
(22) Indirect Allocator (1st + 2nd)	Step 8		=(19)+(21)	1.81	2.48	1.75	1.61	0.45	15.73	6.07	5.22	1.94	3.41	0.55	1.59	0.29
(23) Indirect Adjustment (Ind. Adj.)	Steps 9-11	See Footnote**		0.3826	0.3826	0.3826	0.3826	0.3826	0.3826	0.3826	0.3826	0.3826	0.3826	0.3826	0.3826	0.3826
(24) Adjusted Indirect Allocator	Steps 9-11	=Ind Alloc * Ind Adj		0.69	0.95	0.67	0.61	0.17	6.02	2.32	2	0.74	1.31	0.21	0.61	0.11
(25) Ind. Practice Cost Index (IPCI)	Steps 12-16			1.43	1.31	1	1.05	1.06	0.75	0.87	0.87	0.36	0.64	1.07	0.95	1
(26) Adjusted Indirect	Step 17	= Adj.Ind Alloc * PCI	=(24)*(25)	0.99	1.24	0.67	0.65	0.18	4.49	2.02	1.74	0.26	0.84	0.23	0.58	0.11
(27) Pre-Cap PE RVU	Step 18	=(Adj Dir + Adj Ind) * Other Adj	=((14)+(26)) * Other Adj)	1.35	1.6	1.14	1.35	0.23	18.15	5.04	4.63	0.27	1.23	0.24	0.78	0.19
(28) OPPS/ASC Cap Adj	Step 19	PFS		1.015	1.015	1.015	1.015	1.015	1.015	-	-	1.015	1.015	1.015	1.015	1.015
(29) Final PE RVU	Step 19	PE RVU * OPPS/ASC Cap Adj	(27)*(28)	1.37	1.62	1.16	1.37	0.23	18.43	3.7	3.28	0.27	1.25	0.24	0.79	0.19
*The direct adj = [current pe rvus * CF * avg dir pct]/[sum direct inputs] = [step2]/[step3]																
**The indirect adj = [current pe rvus * avg ind pct]/[sum of ind allocators] = [step9]/[step10]																
Note: The use of any particular conversion factor (CF) in this table to illustrate the PE Calculation has no effect on the resulting RVUs.																
Note: The budget neutrality adjustment includes an adjustment for the equipment utilization change.																
^ Codes subject to the proposed OPD/ASC cap are not increased by the OPPS/ASC Cap Adj of 1.015. The Final PE RVU values in row (29) reflect the capped PE RVUs																
																
