Attachment A FY22 Ordered Urgent Routine Exams-Tests.docx

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Disability Medical Exams for the Railroad Retirement Board
Solicitation number
60RRBH23R0011
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This document is an attachment to a solicitation providing details on the number and types of medical examinations and tests ordered by the Railroad Retirement Board in fiscal year 2022. The attachment lists over 300 examination and test codes along with the number of urgent and routine orders placed for each type in FY22. Examinations included dermatology, otolaryngology, ophthalmology, neurology, psychiatry, internal medicine, orthopedics, cardiology, imaging tests such as x-rays and MRIs of various body parts, laboratory tests, and other specialized services. The most commonly ordered examinations were psychiatric at 343 routine orders and 60 urgent orders. Other high volume orders included orthopedic at 375 routine and 59 urgent, and spine x-rays. Related specialized examinations were ordered in smaller numbers. The solicitation seeks these types of medical examination and testing services to support the disability evaluation process of the Railroad Retirement Board.

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Other files

File Type Posted
60RRBH23R0011 001.pdf PDF
Copy of ATTACHMENT B Unit Pricing Schedule for Exams.xlsx XLSX spreadsheet
Released version 60RRBH23R0011 Disability Medical Exams 2023.pdf PDF
Attachment D Offices of the the U.S. RRB and District Office Map.pdf PDF
Attachment C 2023 Average Railroad Employment by State.docx DOCX document
Attachment F 2023 Subcontracting Plan.doc DOC document
Exhibit 4 Physical Resdual Funtional Capacity Assessment.pdf PDF
Attachment H 2023-1 CE Protocols with Possible Additions.pdf PDF
Attachment B Unit Pricing Schedule Exam-Tests Estimated Orders.pdf PDF
Exhibit 3 2023 Revised Ancillary Test.docx DOCX document
Exhibit 2 Revised Consultative Examination Protocols.docx DOCX document
Attachment G Past Performance Questionnaire.docx DOCX document
Exhibit 1 2023 Exam Reason Beneficiary Type.docx DOCX document
Attachment E 2023 Implementation Plan.doc DOC document
Exhibit 5 Mental Residual Functional Capacity Assessment.pdf PDF
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Solicitation 60RRBH23R0011 Page 2 of 3 Attachment F – Examinations/Tests Ordered in Fiscal Year 2022

Number of Examinations/Tests Ordered for FY 2022

Examination/Test Number
Examination/Test Name
No. of Urgent Orders
No. of Routine Orders
001
Dermatologist Exam
0
0
003
Otolaryngology (ear exam) , including audiometric test with air and bone conduction pure tone studies with speech discrimination
0
7
005
Otolaryngology (ear exam), including audiometric test and an ENG or caloric test
0
0
006
Otolaryngology (ear exam), including a speech discrimination test with a hearing in noise test (HINT)
0
0
007
Ophthalmology (eye exam)
3
9
011
I. Q. Evaluation with psychometric testing
0
6
012
Neurologist Exam
3
11
013
Psychiatric Exam
60
343
014
Minnesota Multi-phasic Personality Inventory
0
0
016
Orthopedic Exam
59
375
017
Internal Medicine Exam with orthopedic involvement
39
233
018
Internal Medicine Exam
6
36
020
Serum Protein Electrophoresis
0
0
023
Arterial Blood Gas Studies (resting)
0
0
024
PT (Prothrombin Time) and INR (International Normalized Ratio)
0
0
026
A1C ( also known as glycated hemoglobin HbA1c) test
0
0
028
Hematocrit
0
0
030
Complete blood cell count (CBC)
0
0
032
Serum Creatinine; if not available, do BUN (blood urea nitrogen) or NPN (non-protein nitrogen)
0
0
033
Serum Albumin
0
0
034
Erythrocyte Sedimentation Rate
0
0
036
SMA Series (SMA-12, etc)
0
0
037
Anti-convulsant Serum Level
0
0
038
Liver function studies
0
0
039
Thyroid Evaluation
0
0
040
Electro-encephalogram
0
0
041
Pulmonary Function Test, spirometry
5
14
042
Diffusing Capacity/Lungs (DLCO)
0
0
043
Stress (treadmill or bicycle) test with monitoring. Submit interpretation and sample tracings.
0
0
044
Rheumatoid Factor
0
0
045
Electrocardiogram (EKG) with interpretation, submit tracing
2
6
046
Doppler Ultrasound Flow Detection Tech.
0
0
047
Urinalysis
0
0
048
Antinuclear Antibody
0
0

Number of Examinations/Tests Ordered in Fiscal Year 2022

Examination/Test Number
Examination/Test Name
No. of Urgent Orders
No. of Routine Orders
052/152
Left/Right ankle joint, anteroposterior, lateral views, and oblique (x-ray)
1
3
053/153
Left/Right arm humerus, anteroposterior, lateral views, and oblique (x-ray)
1
0
055
Chest, anteroposterior and lateral (x-ray)
5
13
058/158
Left/Right elbow, anteroposterior, lateral views and oblique (x-ray)
0
0
062/162
Left/Right foot, anteroposterior, lateral views and oblique. (x-ray)
0
3
063/163
Left/Right forearm, anteroposterior, lateral views and oblique. (x-ray)
0
0
067/167
Left/Right hand, anteroposterior, lateral views and oblique. (x-ray)
2
0
068
Hip joints (right and left on one film) anteroposterior view (x-ray)
1
14
073/173
Left/Right knee joint, anteroposterior, lateral views and oblique. (x-ray)
5
53
075/175
Left/Right leg, tibia and fibular, anteroposterior, lateral views (x-ray)
0
0
079/179
Left/Right shoulder joint, anteroposterior view, internal and external rotation (x-ray)
3
17
085
Skull, anteroposterior, right and left lateral frontal and basal occipital (x-ray)
0
0
087
Spine, cervical, anteroposterior and lateral views odontoid (x-ray)
5
30
088
Spine, dorsal, anteroposterior and lateral views, 14X17 film (x-ray)
1
0
089
Spine, lumbo-sacral, anteroposterior and lateral views, 14X17 film (x-ray)
12
60
092/192
Left/Right thigh, femur, survey film (x-ray)
0
0
094/194
Left/Right wrist, anteroposterior and lateral views (x-ray)
0
1
101
Cardiology Specialist Exam
0
1
106
Otolaryngology HINT Specialist Exam
0
0
112
Neurologist Specialist Exam
0
0
113
Psychiatric Specialist Exam
0
0
116
Orthopedic Specialist Exam
0
0
123
Arterial Blood Gas (exercise)
0
0
200
Functional Capacity Evaluation
0
0
300
Cervical Spine CT Scan
0
0
301
Lumbar Spine CT Scan
0
0
302
Shoulder CT Scan
0
0
303
Knee CT Scan
0
0
304
Hip CT Scan
0
0
305
Cervical Spine MRI without contrast
0
0
306
Lumbar Spine MRI without contrast
0
0
307
Shoulder MRI without contrast
0
0
308
Knee MRI without contrast
0
0
309
Hip MRI without contrast
0
0

File details come from the government source that posted it. Updated .