LICENSES AND NOTICES

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 websiteExternal 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

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

THE LICENSE GRANTED HEREIN IS EXPRESSLY CONDITIONED UPON YOUR ACCEPTANCE OF ALL TERMS AND CONDITIONS CONTAINED IN THIS AGREEMENT. BY CLICKING BELOW ON THE BUTTON LABELED "I ACCEPT", YOU HEREBY ACKNOWLEDGE THAT YOU HAVE READ, UNDERSTOOD AND AGREED TO ALL TERMS AND CONDITIONS SET FORTH IN THIS AGREEMENT.

IF YOU DO NOT AGREE WITH ALL TERMS AND CONDITIONS SET FORTH HEREIN, CLICK BELOW ON THE BUTTON LABELED "I DO NOT ACCEPT" AND EXIT FROM THIS COMPUTER SCREEN.

IF YOU ARE ACTING ON BEHALF OF AN ORGANIZATION, YOU REPRESENT THAT YOU ARE AUTHORIZED TO ACT ON BEHALF OF SUCH ORGANIZATION AND THAT YOUR ACCEPTANCE OF THE TERMS OF THIS AGREEMENT CREATES A LEGALLY ENFORCEABLE OBLIGATION OF THE ORGANIZATION. AS USED HEREIN, "YOU" AND "YOUR" REFER TO YOU AND ANY ORGANIZATION ON BEHALF OF WHICH YOU ARE ACTING.

  1. 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.
  2. 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 websiteExternal Website.
  3. Applicable Federal Acquisition Regulation Clauses (FARS)\Department of Defense Federal Acquisition Regulation Supplement (DFARS) Restrictions Apply to Government use. Please click here to see all U.S. Government Rights Provisions.
  4. ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. CDT-4 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-4. The ADA does not directly or indirectly practice medicine or dispense dental services. The sole responsibility for the software, including any CDT-4 and other content contained therein, is with (insert name of applicable entity) 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.
  5. CMS DISCLAIMER. The scope of this license is determined by the ADA, the copyright holder. Any questions pertaining to the license or use of the CDT-4 should be addressed to the ADA. 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 CDT-4. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL COVERED BY THIS LICENSE. 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.

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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October 30, 2014 - Revised: 12.11.15

Part B Acronyms

A B C D E F G H I L M N O P Q R S T V W Z

AAPC American Association of Professional Coders
ABN Advance Beneficiary Notice of Noncoverage
ACA Affordable Care Act
ACH Automated Clearing House
ACO Administrative Contracting Officer
ACT Ask-the-Contractor Teleconference
ADR Additional Documentation Request
AG Advisory Group
ALJ Administrative Law Judge
AMA American Medical Association
ANSI American National Standards Institute
ASP Average Sales Price
AWP Average Wholesale Price
BCRC Benefits Coordination & Recovery Center (formerly Coordination of Benefits Contractor)
BPCI Bundled Payment for Care Improvement
CAC Contractor Advisory Committee
CARC Claim Adjustment Reason Code
CB Consolidated Billing
CBSA Core Based Statistical Area
CDC CERT Documentation Contractor
CERT Comprehensive Error Rate Testing
CFR Code of Federal Regulations
CHIP Children’s Health Insurance Program
CHOW Change of Ownership
CID Claim Identifier
CMD Contractor Medical Director
CMS Centers for Medicare & Medicaid Services
COB Coordination of Benefits
COBA Coordination of Benefits Agreement
CPO Care Plan Oversight
CPT Current Procedural Terminology
CR Change Request
CSR Customer Service Representative
CWF Common Working File
CY Calendar Year
DCN Document Control Number
DME Durable Medical Equipment
DMERC Durable Medical Equipment Regional Carrier
DMEPOS Durable Medical Equipment, Prosthetics, Orthotics, and Supplies
DNF Do Not Forward
DOS Dates of Service
ED Expedited Determination
EDI Electronic Data Interchange
EFT Electronic Funds Transfer
EIDM Enterprise Identity Management System
EIN Employer Identification Number
EMC Electronic Media Claims
EOB Explanation of Benefits
ERS Extended Repayment Schedule (formerly Extended Repayment Plan or ERP)
ERA Electronic Remittance Advice
ERP Extended Repayment Plan
esMD Electronic Submission of Medical Documentation
FAQ Frequently Asked Question
FB Forward Balance
FDG Fluorodeoxyglucose
FFS Fee-For-Service
FOIA Freedom of Information Act
FTP File Transfer Protocol
FY Fiscal Year
GEMs General Equivalence Mappings
GHP Group Health Plan
HCPCS Healthcare Common Procedure Coding System
HETS HIPAA Eligibility Transaction System
HIC or HICN Health Insurance Claim Number
HIGLAS Healthcare Integrated General Ledger Accounting System
HIPAA Health Insurance Portability & Accountability Act
HPTC Healthcare Provider Taxonomy Code
HUD Humanitarian Use Device
IACS Individuals Authorized Access to CMS Computer System
ICD-9-CM International Classification of Diseases – Ninth Edition – Clinical Modification
ICD-10-CM International Classification of Diseases – Tenth Edition – Clinical Modification
I/OCE Integrated Outpatient Code Editor
IOM Internet Only Manual
IVR Interactive Voice Response
LCD Local Coverage Determination
LGHP Large Group Health Plan
LPN Licensed Practical Nurse
MA Medicare Advantage
MAC Medicare Administrative Contractor
MCD Medicare Coverage Database
MD Doctor of Medicine
MLN Medicare Learning Network
MMA Medicare Modernization Act
MPFS Medicare Physician Fee Schedule
MPFSDB Medicare Physician Fee Schedule Database
MPPR Multiple Procedure Payment Reduction
MR Medical Review
MSP Medicare Secondary Payer
MSN Medicare Summary Notice
MUE Medically Unlikely Edit
NCCI National Correct Coding Initiative
NCD National Coverage Determination
NDC National Drug Code
NF Nursing Facility
NOC Not Otherwise Classified
NOS Not Otherwise Specified
NP Nurse Practitioner
NPI National Provider Identifier
NPP Non-Physician Practitioner
NPPES National Plan and Provider Enumeration System
NPR Notice of Program Reimbursement
NSV Network Service Vendor
OIG Office of Inspector General
OPPS Outpatient Prospective Payment System
OPR Overpayment Recovery
OSCAR Online Survey Certification & Reporting System
OT Occupational Therapy
OTAF Obligated to Accept as Payment in Full
PACE Program of All-inclusive Care of the Elderly
PCA Progressive Corrective Action
PCC Provider Contact Center
PDF Portable Document Format
PE Provider Enrollment
PECOS Provider Enrollment Chain and Ownership System
PET Positron Emission Tomography
PHI Protected Health Information
PIM Program Integrity Manual
POC Plan of Care
POE Provider Outreach and Education
PPV Pneumococcal Pneumonia Vaccine
PQRS Physician Quality Reporting System
PT Physical Therapy
PTAN Provider Transaction Access Number
PUF Public Use Files
PWK Paperwork Segment
QIC Qualified Independent Contractor
QIO Quality Improvement Organization
QIP Quality Incentive Program
RA Recovery Auditor
RA Remittance Advice
RAC Recovery Audit Contractor (now called Recovery Auditor)
RARC Remittance Advice Remark Code
RN Registered Nurse
RO Regional Office
RTP Return to Provider
SLP Speech-Language Pathology
SMRC Supplemental Medical Review Contractor
SPR Standard Paper Remittance
SSA Social Security Administration
SSI Supplemental Security Income
TIN Tax Identification Number
VA Veterans Administration
WC Workers’ Compensation
WO Withhold
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