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

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POINT AND CLICK LICENSE FOR USE OF "CURRENT DENTAL TERMINOLOGY", ("CDT")

End User License Agreement

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Subject to the terms and conditions contained in this Agreement, you, your employees, and agents are authorized to use CDT-4 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-4 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-4. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials.
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July 2, 2026

Policy Article Revisions Summary for July 2, 2026

Joint DME MAC Publication

Outlined below are the principal changes to the DME MAC Policy Article (PA) that has been revised and posted. The policy included is Standard Documentation Requirements for All Claims Submitted to DME MACs. Please review the entire Local Coverage Determinations (LCDs) and related PAs for complete information.

Standard Documentation Requirements for All Claims Submitted to DME MACs

PA

Standard Documentation Requirements for All Claims Submitted to DME MACs PA

Revision Effective Date: 01/01/2024

EQUIPMENT RETAINED FROM A PRIOR PAYER:

Added: “Unless otherwise specified in an LCD or NCD, the original documentation (including but not limited to an original order and practitioner records) completed prior to the beneficiary entering FFS Medicare may be used to support that all Medicare requirements are met (such as the SWO, WOPD, and face-to-face encounter requirements). As a reminder, for items on the Required Face-to-Face Encounter and Written Order Prior to Delivery List, documentation used to satisfy the face-to-face encounter requirements must have been conducted within six months prior to the date on the WOPD.” as clarification

07/02/2026: At this time 21st Century Cures Act applies to new and revised LCDs which require comment and notice. This revision is to an article that is not a local coverage determination.

Note: The information contained in this article is only a summary of revisions to the LCDs and/or PAs. For complete information on any topic, you must review the LCDs and/or PAs.