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

End User/Point and Click Agreement: CPT codes, descriptions and other data only are copyright 2009 American Medical Association (AMA). All Rights Reserved (or such other date of publication of CPT). CPT is a trademark of the AMA.

You, your employees and agents are authorized to use CPT only as contained in the following authorized materials including but not limited to CGS fee schedules, general communications, Medicare Bulletin, and related materials 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 & 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 here in must be obtained through the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago, IL 60610. Applications are available at the AMA website.

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 Federal procurements.

AMA Disclaimer of Warranties and Liabilities.

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 AMA does not directly or indirectly practice medicine or dispense medical services. The responsibility for the content of this file/product is with CGS or 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. This Agreement will terminate upon notice if you violate its terms. The AMA is a third party beneficiary to this Agreement.

CMS Disclaimer

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.

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.
Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT-4 for resale and/or license, transferring copies of CDT-4 to any party not bound by this agreement, creating any modified or derivative work of CDT-4, or making any commercial use of CDT-4. License to use CDT-4 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 website.
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The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. If the foregoing terms and conditions are acceptable to you, please indicate your agreement by clicking below on the button labeled "I ACCEPT". If you do not agree to the terms and conditions, you may not access or use the software. Instead, you must click below on the button labeled "I DO NOT ACCEPT" and exit from this computer screen.

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September 22, 2015 – Updated 05.10.21

CGS-MolDX Molecular Test Registration and Claims Submission (CM00003, Vol. 8) V2

MolDX Test Registration

To access and obtain a DEX Z-code™ identifier, follow these simple steps:

Go to the DEX Diagnostics Exchange™ page
Select 'Register My Organization' and follow the prompts, including participation in the MolDX program
Within 10 business days of registering with DEX, you will receive a welcome email with a link to set your password and a getting started guide
Once you have received the email and activated your login, you will have access to add test information
Within 45 business days of entering specific test information, the DEX Z-CodeTM identifier will be assigned to tests. DEX will send an email to you when the DEX Z-Code has been assigned.
Please note: we recommend waiting 2–3 weeks before adding this Z-Code to your claim
Once DEX assigns a Z-Code, it is not effective until the MolDX team has reviewed your test application to determine coverage and assigned a CPT code. The CPT code you submit with your application is not necessarily the CPT code that MolDX will assign to your test. You must submit the correct combination of Z-Code, CPT code, and NPI in order for claims to be paid.

DEX access enables the following functions:

Review specific test information
Review each DEX Z-Code™ Identifier
Request edits for tests
Register new tests

For questions, email MolDX@PalmettoGBA.com

As the individual listed in the DEX Z-Code™ identifier application, the username is specific to the contact person designated by each laboratory. Please do not forward or share this information. Colleagues within your organization who want to register may apply for a public user account. A Public user account requires a valid email address and allows a view of public information.

Within 45 business days of a complete and valid registration, the DEX Z-Code TM identifier will be assigned for tests.

The MolDX team will review the registry information to determine if a test meets the Medicare criteria for coverage. For more information, please refer to MolDX Frequently Asked Questions.

MolDX Claim Submission

The claim line for molecular diagnostic tests must contain the appropriate CPT code and test identifier (DEX Z-Code™) associated with the test.

For CPT NOC codes, the test specific DEX Z-Code™ is submitted in the SV101-7 (5010A1-837P) or SV202-7 (5010A1-837I) claim line detail field. For CPT non-NOC codes, providers may either use the SV101-7 or SV202-7 (preferred) or the NTE field to submit this required information.

Providers billing Part A for molecular tests performed by a proprietary or reference laboratory must obtain the DEX Z-Code™ for the molecular test(s) from the performing laboratory. Part A providers billing for molecular services performed by a hospital-based laboratory must register and obtain a unique DEX Z-Code™ for each molecular test in the MolDX code ranges designated above. Part A providers will need to specify which lines are billed for MolDX and the appropriate DEX Z-Code per line within the remarks section of the claim.

For correct claims adjudication for the applicable services, enter the following information for each test submitted on the claim:

Enter claim line number of the performed test.
Enter registered test DEX Z-Code™.

Correct FISS Remarks Samples:

Sample1: ID for a test on line one	Line 1 (HCPCS) – ZB123
Sample 2: IDs for two molecular tests on line one and line two	Line 1 (HCPCS) – ZB123 Line 2 (HCPCS) – ZD456