License for Use of "Physicians' Current Procedural Terminology", Fourth Edition ("CPT")

CPT codes, descriptions and other data only are copyright 2009 American Medical Association (or such other date of publication of CPT). All Rights Reserved. CPT is a registered trademark of the American Medical Association (AMA).

You, your employees and agents are authorized to use CPT only as contained in the following authorized materials (i.e., in these articles, local policies, national coverage determinations), internally within your organization within the United States for the sole use by yourself, employees and agents. Use is limited to use in Medicare, Medicaid or other programs administered by the Centers for Medicare and Medicaid Services (CMS). You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement.

Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. License to use CPT for any use not authorized herein must be obtained through the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago, IL 60610. Applications are available at the AMA Web site, http://www.ama-assn.org/ama/pub/category/3113.htmlLink to external site.

Applicable FARS/DFARS Restrictions Apply to Government Use. This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software, and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2)(June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a)(June 1995) and DFARS 227.7202-3(a)(June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19(June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements.

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CPT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. AMA warrants that due to the nature of CPT, it does not manipulate or process dates, therefore there is no Year 2000 issue with CPT. AMA disclaims responsibility for any errors in CPT that may arise as a result of CPT being used in conjunction with any software and/or hardware system that is not Year 2000 compliant. No fee schedules, basic unit, relative values or related listings are included in CPT. The American Medical Association (AMA) does not directly or indirectly practice medicine or dispense medical services. The responsibility for the content of this file/product is the CMS and no endorsement by the AMA is intended or implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product.

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The scope of this license is determined by the AMA, the copyright holder. Any questions pertaining to the license or use of the CPT must be addressed to the AMA. End users do not act for or on behalf of the CMS. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material.

This license will terminate upon notice to you if you violate the terms of this license. The AMA is a third party beneficiary to this license.

LICENSE FOR USE OF DENTAL PROCEDURE CODES, FOURTH EDITION ("CDT")

These materials contain Current Dental Terminology, (CDT), copyright Â© 2002, 2004 American Dental Association (ADA). All rights reserved. CDT is a trademark of the ADA.

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Subject to the terms and conditions contained in this Agreement, you, your employees, and agents are authorized to use CDT only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials.
Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. Applications are available at the American Dental Association web site, http://www.ADA.org/Link to external site.
Applicable Federal Acquisition Regulation Clauses (FARS)\Department of Defense Federal Acquisition Regulation Supplement (DFARS) Restrictions Apply to Government use. Please see next paragraph to see all U.S. Government Rights Provisions.

US Government Rights

This product includes CDT which is commercial technical data and/or computer data bases and/or commercial computer software, and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Dental Association, 211 East Chicago Avenue, Chicago, Illinois, 60611. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2)(June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a)(June 1995) and DFARS 227.7202-3(a)(June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14(June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14(June 1987) and FAR 52.227-19(June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department Federal procurements.

ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. CDT is provided "as is" without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. No fee schedules, basic unit, relative values or related listings are included in CDT. The ADA does not directly or indirectly practice medicine or dispense dental services. The sole responsibility for the software, including any CDT and other content contained therein, is with the Medicare/Medicaid Contractor or the CMS; and no endorsement by the ADA is intended or implied. The ADA expressly disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. This Agreement will terminate upon notice to you if you violate the terms of this Agreement. The ADA is a third-party beneficiary to this Agreement.

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Current News

WPS Medicare sends out a weekly eNews Listserv with the most current and vital information Medicare providers need to know. The weekly e-mail includes links to WPS Medicare and CMS news articles, as well as policy updates, training schedule additions, and much more. To register, select the link in upper right corner entitled "eNews."

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News for the week of 05/21/12

CMS News

05/24/12 - National Provider Call: Inpatient Rehabilitation Facility Prospective Payment System Coverage Requirements - Register Now (Learnresource)
05/24/12 - National Provider Call: Medicare & Medicaid EHR Incentive Programs; Registration and Attestation for Eligible Professionals - Save the Date (Learnresource)
05/23/12 - Coding Changes to Ultrasound Diagnostic Procedures for Transesophageal Doppler Monitoring
(MM 7819)
05/23/12 - Handling Misdirected Claims for Part B Items and Services (MM 7629)
05/22/12 - Clarification of Medicare Conditional Payment Policy and Billing Procedures for Liability, No-Fault and Workers’ Compensation (WC) Medicare Secondary Payer (MSP) Claims (MM 7355)
05/21/12 - CMS Has Posted Information on Recipients of Medicare EHR Incentive Program Payments (Learnresource)
05/21/12 - CMS to Release a Comparative Billing Report on Evaluation and Management Services - Target Release June 4 (Learnresource)
05/21/12 - Denise Buenning from CMS Answers the Industry's Top Questions about the Version 5010 Upgrade (Learnresource)
05/21/12 - Examining the Difference between a National Provider Identifier (NPI) and a Provider Transaction Access Number (PTAN)
(SE 1216)
05/21/12 - HHS Finalizes New Rules to Cut Regulations for Hospitals and Health Care Providers, Savings More Than $5 Billion (Learnresource)
05/21/12 - July Quarterly Update for 2012 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule
(MM 7822)
05/21/12 - May is Hepatitis Awareness Month and May 19 is National Hepatitis Testing Day (Learnresource)
05/21/12 - Medicare Electronic Prescribing Payment Adjustment Hardship Exemption (Learnresource)
05/21/12 - National Provider Call - Inpatient Rehabilitation Facility Prospective Payment System Coverage Requirements - Register Now (Learnresource)
05/21/12 - National Provider Call - Physician Quality Reporting System & Electronic Prescribing (eRx) - Last Chance to Register (Learnresource)
05/21/12 - Prior Authorization Demonstration Update (Learnresource)
05/21/12 - Reporting of Recoupment for Overpayment on the Remittance Advice (RA) with Patient Control Number
(Revised MM 7499)
05/21/12 - Technical Component of Physician Pathology Services Furnished to Hospital Patients No Longer Covered by Medicare for Certain Pathologists and Independent Labs (Learnresource)
05/21/12 - Updates from the Medicare Learning Network® (Learnresource)

News for the week of 05/14/12

CMS News

05/15/12 - CMS Will Begin Accepting Suggestions for Potential Physician Quality Reporting System Measures and/or Measures Groups (Learnresource)
05/14/12 - Additional Information on Home Health Face-to-Face Encounter Requirements (Learnresource)
05/14/12 - May is National Osteoporosis Month (Learnresource)
05/14/12 - Medicare Electronic Prescribing Payment Adjustment Hardship Exemption (Learnresource)
05/14/12 - Medicare Enrollment/Revalidation: Requests for the IRS Form CP 575 (Learnresource)
05/14/12 - National Provider Call: Current Status of Medicare FFS Implementation of HIPAA Version 5010 and D.0 - Register Now (Learnresource)
05/14/12 - National Provider Call - Inpatient Rehabilitation Facility Prospective Payment System Coverage Requirements - Register Now (Learnresource)
05/14/12 - National Provider Call - Physician Quality Reporting System & Electronic Prescribing (eRx) - Register Now (Learnresource)
05/14/12 - New Data Provides Info on EPs who Participated in the Medicare EHR Incentive Program in 2011 (Learnresource)
05/14/12 - New Physician Specialty Code for Sleep Medicine and Sports Medicine
(Revised MM 7600)
05/14/12 - Physician Compare April 2012 Release (Learnresource)
05/14/12 - Revisions of the Financial Limitation for Outpatient Therapy Services – Section 3005 of the Middle Class Tax Relief and Job Creation Act of 2012 (MM 7785)
05/14/12 - Submit a Notice of Intent to Apply for the Medicare Shared Savings Program January 1, 2013 Start Date - Due by June 15 (Learnresource)
05/14/12 - Submit Your Medicare Enrollment Application Up to 60 Days Before the Effective Date (Learnresource)
05/14/12 - There is only 1 week to Submit Comments for the HHS Proposed Rule to Delay ICD-10 (Learnresource)
05/14/12 - Video Slideshow Presentation and Podcasts from March 1 National Provider Call on the Medicare Shared Savings Program and Advance Payment Model Application Process Now Available (Learnresource)
05/14/12 - We Can't Wait: HHS Announces First 26 Health Care Innovation Awards (Learnresource)
05/14/12 - Were You Sent a Request to Revalidate Your Medicare Enrollment? (Learnresource)

News for the week of 05/07/12

CMS News

05/09/12 - DMEPOS Suppliers Can Easily Update Authorized Official and Ownership Information Using Medicare's Online Enrollment System (Learnresource)
05/08/12 - A Physician’s Guide to Medicare’s Home Health Certification, including the Face-to-Face Encounter (SE 1219)
05/08/12 - New Physician Specialty Code for Sleep Medicine and Sports Medicine (MM 7600)
05/08/12 - Spotlight Women's Health in May in Recognition of Women's Health Week, and Women's Checkup Day (Learnresource)
05/07/12 - CMS to Cover New Technology for Medicare Patients with Heart Valve Damage (Learnresource)
05/07/12 - CY 2012 Outpatient Prospective Payment System Pricer File Update (Learnresource)
05/07/12 - HHS Announces New Affordable Care Act Options for Community Based Care (Learnresource)
05/07/12 - Medicare Electronic Prescribing Payment Adjustment Hardship Exemption (Learnresource)
05/07/12 - Modification to CWF, FISS, MCS and VMS to Return Submitted Information When There is a CWF Name and HIC Number Mismatch (MM 7260)
05/07/12 - National Provider Call: Current Status of Medicare FFS Implementation of HIPAA Version 5010 and D.0 - Save the Date (Learnresource)
05/07/12 - Providers who Receive Error Codes H20203 and H45255 Need to Balance Bill (Learnresource)
05/07/12 - Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – July 2012 Update (MM 7831)
05/07/12 - Slides and Comments from the WEDI-CMS Industry Collaboration and Problem Solving Webinar are Now Posted (Learnresource)
05/07/12 - There are only 2 weeks to Submit Comments for the HHS Proposed Rule to Delay ICD-10 (Learnresource)

News for the week of 04/30/12

CMS News

05/03/12 - The Proposed Rule for Stage 2 Meaningful Use - Comment Period Ends on May 7 (Learnresource)
05/02/12 - Contractor and Common Working File (CWF) Additional Instructions Related to Change Request (CR) 7633 - Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse (MM 7791)
05/02/12 - CY 2012 Outpatient Prospective Payment System Pricer File Update (Learnresource)
05/02/12 - New Influenza Virus Vaccine Code (MM 7794)
04/30/12 - The Proposed Rule for Stage 2 Meaningful Use - Comment Period Ends on May 7 (Learnresource)

Page Last Updated: Wednesday, 23-May-2012 15:53:01 CDT