Rule2023-19567

Determining Disability

Primary source

Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.

Published
September 8, 2023

Issuing agencies

Railroad Retirement Board

Full Text

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<title>Federal Register, Volume 88 Issue 173 (Friday, September 8, 2023)</title>
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[Federal Register Volume 88, Number 173 (Friday, September 8, 2023)]
[Rules and Regulations]
[Pages 61958-61963]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2023-19567]


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RAILROAD RETIREMENT BOARD

20 CFR Part 220


Determining Disability

CFR Correction

    This rule is being published by the Office of the Federal Register 
to correct an editorial or technical error that appeared in the most 
recent annual revision of the Code of Federal Regulations.

0
In Title 20 of the Code of Federal Regulations, Parts 1 to 399, revised 
as of April 1, 2023, in the tables in appendix 3 to part 220, remove 
``<='' and add ``>'' wherever it appears in the following entries:
0
1. Under ``C. Cardiac'':
    a. Under ``Body Part: Cardiac, Confirmatory Tests'', under 
``Coronary artery disease:'', the entry for ``Angiography'';
    b. Under ``Body Part: Cardiac, Job Title: Trainman'':
    i. Under ``Hypertension:'', the entry for ``Medical record 
review'', in all places;
    ii. Under ``Arrhythmia: heart block:'', the entry for ``Holter'';
    c. Under ``Body Part: Cardiac, Job Title: Engineer'':
    i. Under ``Hypertension:'', the entry for ``Medical record 
review'', in all places;
    ii. Under ``Arrhythmia: heart block:'', the entry for ``Holter'';

[[Page 61959]]

    d. Under ``Body Part: Cardiac, Job Title: Dispatcher'':
    i. Under ``Hypertension:'', the entry for ``Medical record 
review'', in all places;
    ii. Under ``Arrhythmia: heart block:'', the entry for ``Holter'';
    e. Under Body ``Part: Cardiac, Job Title: Carman'':
    i. Under ``Hypertension:'', the entry for ``Medical record 
review'', in all places;
    ii. Under ``Arrhythmia: heart block:'', the entry for ``Holter'';
    f. Under ``Body Part: Cardiac, Job Title: Signalman'':
    i. Under ``Hypertension:'', the entry for ``Medical record 
review'', in all places;
    ii. Under ``Arrhythmia: heart block:'', the entry for ``Holter'';
    g. Under ``Body Part: Cardiac, Job Title: Trackman'':
    i. Under ``Hypertension:'', the entry for ``Medical record 
review'', in all places;
    ii. Under ``Arrhythmia: heart block:'', the entry for ``Holter'';
    h. Under ``Body Part: Cardiac, Job Title: Machinist'':
    i. Under ``Hypertension:'', the entry for ``Medical record 
review'', in all places;
    ii. Under ``Arrhythmia: heart block:'', the entry for ``Holter'';
    i. Under ``Body Part: Cardiac, Job Title: Shop Laborer'':
    i. Under ``Hypertension:'', the entry for ``Medical record 
review'', in all places;
    ii. Under ``Arrhythmia: heart block:'', the entry for ``Holter'';
    j. Under ``Body Part: Cardiac, Job Title: Sales Representative'':
    i. Under ``Hypertension:'', the entry for ``Medical record 
review'', in all places;
    ii. Under ``Arrhythmia: heart block:'', the entry for ``Holter'';
    k. Under ``Body Part: Cardiac, Job Title: General Office Clerk'', 
under ``Arrhythmia: heart block:'', the entry for ``Holter'';
0
2. Under ``D. Respiratory'':
    a. Under ``Body Part: Respiratory Confirmatory Tests'', under 
``Asthma:'', the entry for ``Spirometry'' and the first ``<='' in the 
entry for ``Methacholine challenge test'';
    b. Under ``Body Part: Respiratory, Job Title: Trainman'':
    i. Under ``Bronchiectasis:'', the entries for ``Resting ABG'' and 
``Pulmonary exercise test or exercise ABG'';
    ii. Under ``Chronic bronchitis:'', the entries for ``Resting ABG'' 
and ``Pulmonary exercise test or exercise ABG'';
    iii. Under ``Chronic obstructive pulmonary disease (COPD):'', the 
entries for ``Resting ABG'' and ``Pulmonary exercise test or exercise 
ABG'';
    iv. Under ``Pulmonary fibrosis:'', the entries for ``Resting ABG'' 
and ``Pulmonary exercise test or exercise ABG'';
    v. Under ``Restrictive lung disease:'', the entry for ``Pulmonary 
exercise test or exercise ABG'';
    vi. Under ``Silicosis:'', the entry for ``Resting ABG'';
    c. Under ``Body Part: Respiratory, Job Title: Carman'':
    i. Under ``Bronchiectasis:'', the entries for ``Resting ABG'' and 
``Pulmonary exercise test or exercise ABG'';
    ii. Under ``Chronic bronchitis:'', the entries for ``Resting ABG'' 
and ``Pulmonary exercise test or exercise ABG'';
    iii. Under ``Chronic obstructive pulmonary disease (COPD):'', the 
entries for ``Resting ABG'' and ``Pulmonary exercise test or exercise 
ABG'';
    iv. Under ``Pulmonary fibrosis:'', the entries for ``Resting ABG'' 
and ``Pulmonary exercise test or exercise ABG'';
    v. Under ``Restrictive lung disease:'', the entry for ``Pulmonary 
exercise test or exercise ABG'';
    vi. Under ``Silicosis:'', the entry for ``Resting ABG'';
    d. Under ``Body Part: Respiratory, Job Title: Signalman'':
    i. Under ``Bronchiectasis:'', the entries for ``Resting ABG'' and 
``Pulmonary exercise test or exercise ABG'';
    ii. Under ``Chronic bronchitis:'', the entries for ``Resting ABG'' 
and ``Pulmonary exercise test or exercise ABG'';
    iii. Under ``Chronic obstructive pulmonary disease (COPD):'', the 
entries for ``Resting ABG'' and ``Pulmonary exercise test or exercise 
ABG'';
    iv. Under ``Pulmonary fibrosis:'', the entries for ``Resting ABG'' 
and ``Pulmonary exercise test or exercise ABG'';
    v. Under ``Restrictive lung disease:'', the entry for ``Pulmonary 
exercise test or exercise ABG'';
    vi. Under ``Silicosis:'', the entry for ``Resting ABG'';
    e. Under ``Body Part: Respiratory, Job Title: Trackman'':
    i. Under ``Bronchiectasis:'', the entries for ``Resting ABG'' and 
``Pulmonary exercise test or exercise ABG'';
    ii. Under ``Chronic bronchitis:'', the entries for ``Resting ABG'' 
and ``Pulmonary exercise test or exercise ABG'';
    iii. Under ``Chronic obstructive pulmonary disease (COPD):'', the 
entries for ``Resting ABG'' and ``Pulmonary exercise test or exercise 
ABG'';
    iv. Under ``Pulmonary fibrosis:'', the entries for ``Resting ABG'' 
and ``Pulmonary exercise test or exercise ABG'';
    v. Under ``Restrictive lung disease:'', the entry for ``Pulmonary 
exercise test or exercise ABG'';
    vi. Under ``Silicosis:'', the entry for ``Resting ABG'';
    f. Under ``Body Part: Respiratory, Job Title: Machinist'':
    i. Under ``Bronchiectasis:'', the entries for ``Resting ABG'' and 
``Pulmonary exercise test or exercise ABG'';
    ii. Under ``Chronic bronchitis:'', the entries for ``Resting ABG'' 
and
    ``Pulmonary exercise test or exercise ABG'';
    iii. Under ``Chronic obstructive pulmonary disease (COPD):'', the 
entries for ``Resting ABG'' and ``Pulmonary exercise test or exercise 
ABG'';
    iv. Under ``Pulmonary fibrosis:'', the entries for ``Resting ABG'' 
and ``Pulmonary exercise test or exercise ABG'';
    v. Under ``Restrictive lung disease:'', the entry for ``Pulmonary 
exercise test or exercise ABG'';
    vi. Under ``Silicosis:'', the entry for ``Resting ABG'';
    g. Under ``Body Part: Respiratory, Job Title: Shop Laborer'':
    i. Under ``Bronchiectasis:'', the entries for ``Resting ABG'' and 
``Pulmonary exercise test or exercise ABG'';
    ii. Under ``Chronic bronchitis:'', the entries for ``Resting ABG'' 
and ``Pulmonary exercise test or exercise ABG'';
    iii. Under ``Chronic obstructive pulmonary disease (COPD):'', the 
entries for ``Resting ABG'' and ``Pulmonary exercise test or exercise 
ABG'';
    iv. Under ``Pulmonary fibrosis:'', the entries for ``Resting ABG'' 
and ``Pulmonary exercise test or exercise ABG'';
    v. Under ``Restrictive lung disease:'', the entry for ``Pulmonary 
exercise test or exercise ABG'';
    vi. Under ``Silicosis:'', the entry for ``Resting ABG'';
0
3. Under ``F. Cervical Spine'', under ``Body Part: CE Spine, 
Confirmatory Tests'', under ``Radiculopathy:'', the second entry for 
``Physical examination: arm'';
0
4. Under ``G. Shoulder and Elbow'':
    a. Under ``Body Part: Shoulder and Elbow, Job Title: Trainman'', 
under ``Permanent functional limitation, elbow:'', the entry for 
``Physical examination'';
    b. Under ``Body Part: Shoulder and Elbow, Job Title: Engineer'', 
under ``Permanent functional limitation, elbow:'', the entry for 
``Physical examination'';
    c. Under ``Body Part: Shoulder and Elbow, Job Title: Carman'', 
under

[[Page 61960]]

``Permanent functional limitation, elbow:'', the entry for ``Physical 
examination'';
    d. Under ``Body Part: Shoulder and Elbow, Job Title: Signalman'', 
under ``Permanent functional limitation, elbow:'', the entry for 
``Physical examination'';
    e. Under ``Body Part: Shoulder and Elbow, Job Title: Trackman'', 
under ``Permanent functional limitation, elbow:'', the entry for 
``Physical examination'';
    f. Under ``Body Part: Shoulder and Elbow, Job Title: Machinist'', 
under ``Permanent functional limitation, elbow:'', the entry for 
``Physical examination'';
    g. Under ``Body Part: Shoulder and Elbow, Job Title: Shop 
Laborer'', under ``Permanent functional limitation, elbow:'', the entry 
for ``Physical examination'';
0
5. Under ``H. Hand and Arm'':
    a. Under ``Body Part: Hand and Arm, Job Title: Trainman'':
    i. Under ``Fracture, wrist:'', the third entry for ``Physical 
examination--range of motion'';
    ii. Under ``Wrist: permanent functional limitation:'', the third 
entry for ``Physical examination--range of motion'';
    b. Under ``Body Part: Hand and Arm, Job Title: Engineer'':
    i. Under ``Fracture, wrist:'', the third entry for ``Physical 
examination--range of motion'';
    ii. Under ``Wrist: permanent functional limitation:'', the third 
entry for ``Physical examination--range of motion'';
    c. Under ``Body Part: Hand and Arm, Job Title: Dispatcher'':
    i. Under ``Fracture, wrist:'', the third entry for ``Physical 
examination--range of motion'';
    ii. Under ``Wrist: permanent functional limitation:'', the third 
entry for ``Physical examination--range of motion'';
    d. Under ``Body Part: Hand and Arm, Job Title: Carman'':
    i. Under ``Fracture, wrist:'', the third entry for ``Physical 
examination--range of motion'';
    ii. Under ``Wrist: permanent functional limitation:'', the third 
entry for ``Physical examination--range of motion'';
    e. Under ``Body Part: Hand and Arm, Job Title: Signalman'':
    i. Under ``Fracture, wrist:'', the third entry for ``Physical 
examination--range of motion'';
    ii. Under ``Wrist: permanent functional limitation:'', the third 
entry for ``Physical examination--range of motion'';
    f. Under ``Body Part: Hand and Arm, Job Title: Trackman'':
    i. Under ``Fracture, wrist:'', the third entry for ``Physical 
examination--range of motion'';
    ii. Under ``Wrist: permanent functional limitation:'', the third 
entry for ``Physical examination--range of motion'';
    g. Under ``Body Part: Hand and Arm, Job Title: Machinist'':
    i. Under ``Fracture, wrist:'', the third entry for ``Physical 
examination--range of motion'';
    ii. Under ``Wrist: permanent functional limitation:'', the third 
entry for ``Physical examination--range of motion'';
    h. Under ``Body Part: Hand and Arm, Job Title: Shop Laborer'':
    i. Under ``Fracture, wrist:'', the third entry for ``Physical 
examination--range of motion'';
    ii. Under ``Wrist: permanent functional limitation:'', the third 
entry for ``Physical examination--range of motion'';
    i. Under ``Body Part: Hand and Arm, Job Title: Sales 
Representative'':
    i. Under ``Fracture, wrist:'', the third entry for ``Physical 
examination--range of motion'';
    ii. Under ``Wrist: permanent functional limitation:'', the third 
entry for ``Physical examination--range of motion'';
    j. Under ``Body Part: Hand and Arm, Job Title: General Office 
Clerk'':
    i. Under ``Fracture, wrist:'', the third entry for ``Physical 
examination--range of motion'';
    ii. Under ``Wrist: permanent functional limitation:'', the third 
entry for ``Physical examination--range of motion'';
0
6. Under ``I. Hip'':
    a. Under ``Body Part: Hip, Job Title: Trainman'', under 
``Ankylosis, hip:'', all entries for ``Physical examination--range of 
motion'';
    b. Under ``Body Part: Hip, Job Title: Engineer'', under 
``Ankylosis, hip:'', all entries for ``Physical examination--range of 
motion'';
    c. Under ``Body Part: Hip, Job Title: Carman'', under ``Ankylosis, 
hip:'', all entries for ``Physical examination--range of motion'';
    d. Under ``Body Part: Hip, Job Title: Signalman'', under 
``Ankylosis, hip:'', all entries for ``Physical examination--range of 
motion'';
    e. Under ``Body Part: Hip, Job Title: Trackman'', under 
``Ankylosis, hip:'', all entries for ``Physical examination--range of 
motion'';
    f. Under ``Body Part: Hip, Job Title: Machinist'', under 
``Ankylosis, hip:'', all entries for ``Physical examination--range of 
motion'';
    g. Under ``Body Part: Hip, Job Title: Shop Laborer'', under 
``Ankylosis, hip:'', all entries for ``Physical examination--range of 
motion'';
0
7. Under ``J. Knee'':
    a. Under ``Body Part: Knee, Job Title: Trainman'':
    i. Under ``Arthritis knee:'', the second entry for ``Physical 
examination--range of motion'';
    ii. Under ``Meniscectomy, medial or lateral:'', the second entry 
for ``Physical examination--range of motion'';
    iii. Under ``Collateral ligament tear with laxity:'', the second 
entry for ``Physical examination--range of motion'';
    iv. Under ``Cruciate and collateral ligament tear:'', the second 
entry for ``Physical examination--range of motion'';
    v. Under ``Cruciate ligament tear with laxity:'', the second entry 
for ``Physical examination--range of motion'':
    vi. Under ``Intercondylar fracture:'', the entry for ``Post 
fracture angulation'' and the second entry for ``Physical examination--
range of motion'';
    vii. Under ``Osteomyelitis, chronic knee:'', the second entry for 
``Physical examination--range of motion'';
    viii. Under ``Osteonecrosis:'', the second entry for ``Physical 
examination--range of motion'';
    ix. Under ``Patellofemoral arthritis:'', the second entry for 
``Physical examination--range of motion'';
    x. Under ``Patellar fracture nonunion with displacement:'', the 
second entry for ``Physical examination--range of motion'' and the 
entry for ``X-ray knee'';
    xi. Under ``Plateau fracture:'', the entry for ``Post fracture 
angulation'' and the second entry for ``Physical examination--range of 
motion'';
    xii. Under ``Patellectomy:'', the second entry for ``Physical 
examination--range of motion'';
    xiii. Under ``Patellar, subluxation, recurrent:'', the second entry 
for ``Physical examination--range of motion'';
    xiv. Under ``Supracondylar fracture:'', the entry for ``Post 
fracture angulation'' and the second entry for ``Physical examination--
range of motion'';
    xv. Under ``Tibial shaft fracture:'', the second entry for 
``Physical examination--range of motion'' and the entry for ``Post 
fracture angulation'';
    b. Under ``Body Part: Knee, Job Title: Engineer'':
    i. Under ``Arthritis knee:'', the second entry for ``Physical 
examination--range of motion'';
    ii. Under ``Meniscectomy, medial or lateral:'', the second entry 
for ``Physical examination--range of motion'';
    iii. Under ``Collateral ligament tear with laxity:'', the second 
entry for

[[Page 61961]]

``Physical examination--range of motion'';
    iv. Under ``Cruciate and collateral ligament tear:'', the second 
entry for ``Physical examination--range of motion'';
    v. Under ``Cruciate ligament tear with laxity:'', the second entry 
for ``Physical examination--range of motion'';
    vi. Under ``Intercondylar fracture:'', the entry for ``Post 
fracture angulation'' and the second entry for ``Physical examination--
range of motion'';
    vii. Under ``Osteomyelitis, chronic knee:'', the second entry for 
``Physical examination--range of motion'';
    viii. Under ``Osteonecrosis:'', the second entry for ``Physical 
examination--range of motion'';
    ix. Under ``Patellofemoral arthritis:'', the second entry for 
``Physical examination--range of motion'';
    x. Under ``Patellar fracture nonunion with displacement:'', the 
second entry for ``Physical examination--range of motion'' and the 
entry for ``X-ray knee'';
    xi. Under ``Plateau fracture:'', the entry for ``Post fracture 
angulation'' and the second entry for ``Physical examination--range of 
motion'';
    xii. Under ``Patellectomy:'', the second entry for ``Physical 
examination--range of motion'';
    xiii. Under ``Patellar, subluxation, recurrent:'', the second entry 
for ``Physical examination--range of motion'';
    xiv. Under ``Supracondylar fracture:'', the entry for ``Post 
fracture angulation'' and the second entry for ``Physical examination--
range of motion'';
    xv. Under ``Tibial shaft fracture:'', the second entry for 
``Physical examination--range of motion'' and the entry for ``Post 
fracture angulation'';
    c. Under ``Body Part: Knee, Job Title: Carman'':
    i. Under ``Arthritis knee:'', the second entry for ``Physical 
examination--range of motion'';
    ii. Under ``Meniscectomy, medial or lateral:'', the second entry 
for ``Physical examination--range of motion'';
    iii. Under ``Collateral ligament tear with laxity:'', the second 
entry for ``Physical examination--range of motion'';
    iv. Under ``Cruciate and collateral ligament tear:'', the second 
entry for ``Physical examination--range of motion'';
    v. Under ``Cruciate ligament tear with laxity:'', the second entry 
for ``Physical examination--range of motion'';
    vi. Under ``Intercondylar fracture:'', the entry for ``Post 
fracture angulation'' and the second entry for ``Physical examination--
range of motion'';
    vii. Under ``Osteomyelitis, chronic knee:'', the second entry for 
``Physical examination--range of motion'';
    viii. Under ``Osteonecrosis:'', the second entry for ``Physical 
examination--range of motion'';
    ix. Under ``Patellofemoral arthritis:'', the second entry for 
``Physical examination--range of motion'';
    x. Under ``Patellar fracture nonunion with displacement:'', the 
second entry for ``Physical examination--range of motion'' and the 
entry for ``X-ray knee'';
    xi. Under ``Plateau fracture:'', the entry for ``Post fracture 
angulation'', and the second entry for ``Physical examination--range of 
motion'';
    xii. Under ``Patellectomy:'', the second entry for ``Physical 
examination--range of motion'';
    xiii. Under ``Patellar, subluxation, recurrent:'', the second entry 
for ``Physical examination--range of motion'';
    xiv. Under ``Supracondylar fracture:'', the entry for ``Post 
fracture angulation'' and the second entry for ``Physical examination--
range of motion'';
    xv. Under ``Tibial shaft fracture:'', the second entry for 
``Physical examination--range of motion'' and the entry for ``Post 
fracture angulation'';
    d. Under ``Body Part: Knee, Job Title: Signalman'':
    i. Under ``Arthritis knee:'', the second entry for ``Physical 
examination--range of motion'';
    ii. Under ``Meniscectomy, medial or lateral:'', the second entry 
for ``Physical examination--range of motion'';
    iii. Under ``Collateral ligament tear with laxity:'', the second 
entry for ``Physical examination--range of motion'';
    iv. Under ``Cruciate and collateral ligament tear:'', the second 
entry for ``Physical examination--range of motion'';
    v. Under ``Cruciate ligament tear with laxity:'', the second entry 
for ``Physical examination--range of motion'';
    vi. Under ``Intercondylar fracture:'', the entry for ``Post 
fracture angulation'' and the second entry for ``Physical examination--
range of motion'';
    vii. Under ``Osteomyelitis, chronic knee:'', the second entry for 
``Physical examination--range of motion'';
    viii. Under ``Osteonecrosis:'', the second entry for ``Physical 
examination--range of motion'';
    ix. Under ``Patellofemoral arthritis:'', the second entry for 
``Physical examination--range of motion'';
    x. Under ``Patellar fracture nonunion with displacement:'', the 
second entry for ``Physical examination--range of motion'' and the 
entry for ``X-ray knee'';
    xi. Under ``Plateau fracture:'', the entry for ``Post fracture 
angulation'' and the second entry for ``Physical examination--range of 
motion'';
    xii. Under ``Patellectomy:'', the second entry for ``Physical 
examination--range of motion'';
    xiii. Under ``Patellar, subluxation, recurrent:'', the second entry 
for ``Physical examination--range of motion'';
    xiv. Under ``Supracondylar fracture:'', the entry for ``Post 
fracture angulation'' and the second entry for the second entry for 
``Physical examination--range of motion'';
    xv. Under ``Tibial shaft fracture:'', the second entry for 
``Physical examination--range of motion'' and the entry for ``Post 
fracture angulation'';
    e. Under ``Body Part: Knee, Job Title: Trackman'':
    i. Under ``Arthritis knee:'', the second entry for ``Physical 
examination--range of motion'';
    ii. Under ``Meniscectomy, medial or lateral:'', the second entry 
for ``Physical examination--range of motion'';
    iii. Under ``Collateral ligament tear with laxity:'', the second 
entry for ``Physical examination--range of motion'';
    iv. Under ``Cruciate and collateral ligament tear:'', the second 
entry for ``Physical examination--range of motion'';
    v. Under ``Cruciate ligament tear with laxity:'', the second entry 
for ``Physical examination--range of motion'';
    vi. Under ``Intercondylar fracture:'', the entry for ``Post 
fracture angulation'' and the second entry for ``Physical examination--
range of motion'';
    vii. Under ``Osteomyelitis, chronic knee:'', the second entry for 
``Physical examination--range of motion'';
    viii. Under ``Osteonecrosis:'', the second entry for ``Physical 
examination--range of motion'';
    ix. Under ``Patellofemoral arthritis:'', the second entry for 
``Physical examination--range of motion'';
    x. Under ``Patellar fracture nonunion with displacement:'', the 
second entry for ``Physical examination--range of motion'' and the 
entry for ``X-ray knee'';
    xi. Under ``Plateau fracture:'', the entry for ``Post fracture 
angulation'' and the second entry for ``Physical examination--range of 
motion'';
    xii. Under ``Patellectomy:'', the second entry for ``Physical 
examination--range of motion'';
    xiii. Under ``Patellar, subluxation, recurrent:'', the second entry 
for Physical examination--range of motion'';
    xiv. Under ``Supracondylar fracture:'', the entry for ``Post 
fracture angulation'' and the second entry for ``Physical examination--
range of motion'';

[[Page 61962]]

    xv. Under ``Tibial shaft fracture:'', the second entry for 
``Physical examination--range of motion'' and the entry for ``Post 
fracture angulation'';
    f. Under ``Body Part: Knee, Job Title: Machinist'':
    i. Under ``Arthritis knee:'', the second entry for ``Physical 
examination--range of motion'';
    ii. Under ``Meniscectomy, medial or lateral:'', the second entry 
for ``Physical examination--range of motion'';
    iii. Under ``Collateral ligament tear with laxity:'', the second 
entry for ``Physical examination--range of motion'';
    iv. Under ``Cruciate and collateral ligament tear:'', the second 
entry for ``Physical examination--range of motion'';
    v. Under ``Cruciate ligament tear with laxity:'', the second entry 
for ``Physical examination--range of motion'';
    vi. Under ``Intercondylar fracture:'', the entry for ``Post 
fracture angulation'' and the second entry for ``Physical examination--
range of motion'';
    vii. Under ``Osteomyelitis, chronic knee:'', the second entry for 
``Physical examination--range of motion'';
    viii. Under ``Osteonecrosis:'', the second entry for ``Physical 
examination--range of motion'';
    ix. Under ``Patellofemoral arthritis:'', the second entry for 
``Physical examination--range of motion'';
    x. Under ``Patellar fracture nonunion with displacement:'', the 
second entry for ``Physical examination--range of motion'' and the 
entry for ``X-ray knee'';
    xi. Under ``Plateau fracture:'', the entry for ``Post fracture 
angulation'' and the second entry for ``Physical examination--range of 
motion'';
    xii. Under ``Patellectomy:'', the second entry for ``Physical 
examination--range of motion'';
    xiii. Under ``Patellar, subluxation, recurrent:'', the second entry 
for ``Physical examination--range of motion'';
    xiv. Under ``Supracondylar fracture:'', the entry for ``Post 
fracture angulation'' and the second entry for ``Physical examination--
range of motion'';
    xv. Under ``Tibial shaft fracture:'', the second entry for 
``Physical examination--range of motion'' and the entry for ``Post 
fracture angulation'';
    g. Under ``Body Part: Knee, Job Title: Shop Laborer'':
    i. Under ``Arthritis knee:'', the second entry for ``Physical 
examination--range of motion'';
    ii. Under ``Meniscectomy, medial or lateral:'', the second entry 
for ``Physical examination--range of motion'';
    iii. Under ``Collateral ligament tear with laxity:'', the second 
entry for ``Physical examination--range of motion'';
    iv. Under ``Cruciate and collateral ligament tear:'', the second 
entry for ``Physical examination--range of motion'';
    v. Under ``Cruciate ligament tear with laxity:'', the second entry 
for ``Physical examination--range of motion'';
    vi. Under ``Intercondylar fracture:'', the entry for ``Post 
fracture angulation'' and the second entry for ``Physical examination--
range of motion'';
    vii. Under ``Osteomyelitis, chronic knee:'', the second entry for 
``Physical examination--range of motion'';
    viii. Under ``Osteonecrosis:'', the second entry for ``Physical 
examination--range of motion'';
    ix. Under ``Patellofemoral arthritis:'', the second entry for 
``Physical examination--range of motion'';
    x. Under ``Patellar fracture nonunion with displacement:'', the 
second entry for ``Physical examination--range of motion'' and the 
entry for ``X-ray knee'';
    xi. Under ``Plateau fracture:'', the entry for ``Post fracture 
angulation'' and the second entry for ``Physical examination--range of 
motion'';
    xii. Under ``Patellectomy:'', the second entry for ``Physical 
examination--range of motion'';
    xiii. Under ``Patellar, subluxation, recurrent:'', the second entry 
for ``Physical examination--range of motion'';
    xiv. Under ``Supracondylar fracture:'', the entry for ``Post 
fracture angulation'' and the second entry for ``Physical examination--
range of motion'';
    xv. Under ``Tibial shaft fracture:'', the second entry for 
``Physical examination--range of motion'' and the entry for ``Post 
fracture angulation'';
0
8. Under ``K. Ankle and Foot'':
    a. Under ``Body Part: Ankle and Foot, Job Title: Trainman'':
    i. Under ``Ankle fracture:'', the entry for ``Physical 
examination'';
    ii. Under ``Ankylosis, ankle:'', the third entry for ``Physical 
examination--range of motion'';
    iii. Under ``Arthritis, subtalar joint (hindfoot):'', the entry for 
``Physical examination'';
    iv. Under ``Arthritis, talonavicular joint (hindfoot):'', the entry 
for ``Physical examination'';
    v. Under ``Arthritis, ankle:'', the entry for ``Physical 
examination'';
    vi. Under ``Hindfoot fracture:'', both entries for ``Physical 
examination'';
    b. Under ``Body Part: Ankle and Foot, Job Title: Engineer'':
    i. Under ``Ankle fracture:'', the entry for ``Physical 
examination'';
    ii. Under ``Ankylosis, ankle:'', the first and third entries for 
``Physical examination--range of motion'';
    iii. Under ``Arthritis, subtalar joint (hindfoot):'', the entry for 
``Physical examination'';
    iv. Under ``Arthritis, talonavicular joint (hindfoot):'', the entry 
for ``Physical examination'';
    v. Under ``Arthritis, ankle:'', the entry for ``Physical 
examination'';
    vi. Under ``Hindfoot fracture:'', both entries for ``Physical 
examination'';
    c. Under ``Body Part: Ankle and Foot, Job Title: Dispatcher'':
    i. Under ``Arthritis, ankle:'', the entry for ``Physical 
examination'';
    ii. Under ``Hindfoot fracture:'', both entries for ``Physical 
examination'';
    d. Under ``Body Part: Ankle and Foot, Job Title: Carman'':
    i. Under ``Ankle fracture:'', the entry for ``Physical 
examination'';
    ii. Under ``Ankylosis, ankle:'', the first and third entries for 
``Physical examination--range of motion'';
    iii. Under ``Arthritis, subtalar joint (hindfoot):'', the entry for 
``Physical examination'';
    iv. Under ``Arthritis, talonavicular joint (hindfoot):'', the entry 
for ``Physical examination'';
    v. Under ``Arthritis, ankle:'', the entry for ``Physical 
examination'';
    vi. Under ``Hindfoot fracture:'', both entries for ``Physical 
examination'';
    e. Under ``Body Part: Ankle and Foot, Job Title: Signalman'':
    i. Under ``Ankle fracture:'', the entry for ``Physical 
examination'';
    ii. Under ``Ankylosis, ankle:'', the first and third entries for 
``Physical examination--range of motion'';
    iii. Under ``Arthritis, subtalar joint (hindfoot):'', the entry for 
``Physical examination'';
    iv. Under ``Arthritis, talonavicular joint (hindfoot):'', the entry 
for ``Physical examination'';
    v. Under ``Arthritis, ankle:'', the entry for ``Physical 
examination'';
    vi. Under ``Hindfoot fracture:'', both entries for ``Physical 
examination'';
    f. Under ``Body Part: Ankle and Foot, Job Title: Trackman'':
    i. Under ``Ankle fracture:'', the first entry for ``Physical 
examination--range of motion'';
    ii. Under ``Ankylosis, ankle:'', the first and third entries for 
``Physical examination--range of motion'';
    iii. Under ``Arthritis, subtalar joint (hindfoot):'', the entry for 
``Physical examination'';
    iv. Under ``Arthritis, talonavicular joint (hindfoot):'', the entry 
for ``Physical examination'';
    v. Under ``Arthritis, ankle:'', the entry for ``Physical 
examination'';
    vi. Under ``Hindfoot fracture:'', both entries for ``Physical 
examination'';
    g. Under ``Body Part: Ankle and Foot, Job Title: Machinist'':

[[Page 61963]]

    i. Under ``Ankle fracture:'', the entry for ``Physical 
examination'';
    ii. Under ``Ankylosis, ankle:'', the first and third entries for 
``Physical examination--range of motion'';
    iii. Under ``Arthritis, subtalar joint (hindfoot):'', the entry for 
``Physical examination'';
    iv. Under ``Arthritis, talonavicular joint (hindfoot):'', the entry 
for ``Physical examination'';
    v. Under ``Arthritis, ankle:'', the entry for ``Physical 
examination'';
    vi. Under ``Hindfoot fracture:'', both entries for ``Physical 
examination'';
    h. Under ``Body Part: Ankle and Foot, Job Title: Shop Laborer'':
    i. Under ``Ankle fracture:'', the entry for ``Physical 
examination'';
    ii. Under ``Ankylosis, ankle:'', the first and third entries for 
``Physical examination--range of motion'';
    iii. Under ``Arthritis, subtalar joint (hindfoot):'', the entry for 
``Physical examination'';
    iv. Under ``Arthritis, talonavicular joint (hindfoot):'', the entry 
for ``Physical examination'';
    v. Under ``Arthritis, ankle:'', the entry for ``Physical 
examination'';
    vi. Under ``Hindfoot fracture:'', both entries for ``Physical 
examination'';
    i. Under ``Body Part: Ankle and Foot, Job Title: Sales 
Representative'':
    i. Under ``Arthritis, ankle:'', the entry for ``Physical 
examination'';
    ii. Under ``Hindfoot fracture:'', both entries for ``Physical 
examination''.

[FR Doc. 2023-19567 Filed 9-7-23; 8:45 am]
BILLING CODE 0099-10-P


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Indexed from Federal Register on September 8, 2023.

This is legal information, not legal advice. Laws vary by jurisdiction and change frequently. Always verify current law with official sources and consult a licensed attorney in your jurisdiction for advice on your specific situation.