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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.

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  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.
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January 11, 2016

2016 MoPath Tier 2 Fee Schedule (CM00094)

As per Change Request (CR) 9465External PDF, CMS released the 2016 clinical laboratory fee schedule for tests reported with Tier 1 CPT codes. The table below lists the fees established for Tier 2 covered tests. Please note the genes are sorted by CPT code and then by alpha per gene. In Tier 2 codes multiple genes are listed under a single code. The required identifier assigned and submitted with each test enables MolDX to apply the appropriate fee for the specific test performed.

CPT Code Descriptor Allowed
81400 ACE, idv $82.58
81400 F13B, V34L $64.52
81400 F2, 1199G>A $70.20
81400 F5, HR2 $58.84
81400 F7, R353Q $64.52
81400 FGB, -455G>A $70.20
81400 HPA, antigen ea $46.46
81400 IL28B, rs12979860 $55.23
81400 SERPINE1, 4G $58.84
81401 ABL1, T315I $153.01
81401 CYFB_MYH11, cv $138.82
81401 CCND1_IGH, ta majbp qual qual $93.94
81401 E2A_PBX1, ta qual quan, $105.30
81401 EML4_ALK, ta or ia $128.48
81401 ETV6_RUNX1, ta qual quan $90.31
81401 EWSR1_ERG, ta qual quan $151.42
81401 EWSR1_FLI1, ta qual quan $162.85
81401 EWSR1_WT1, ta qual quan $203.84
81401 F11, cv $75.88
81401 FIP1L1_PDGFR, qual quan $90.82
81401 FOXO1_PAX3, ta, qual quan $120.75
81401 FOXO1_PAX7, ta, qual quan $120.75
81401 IGH/BCL2, sbp $123.36
81401 MUTYH, cv $105.81
81401 PAX8_PPARG, ta $54.19
81401 RUNX1_RUNX1T1, ta qual quan $106.05
81401 TPMT, cv $111.61
81401 TYMS, trv $169.10
81401 VWF, cv (2N) $278.18
81402 IGH_BCL2 majbp & mcr bp $123.36
81402 KIT, cv $98.13
81403 CEBPA, fgs $235.54
81403 EPCAM, kfv $93.94
81403 F8, intron 1 and 22a $81.05
81403 IDH1, exon 4 $67.70
81403 IDH1_IDH2, exon 4 panel 135.40
81403 IDH2, exon 4 $67.70
81403 JAK2, exon 12 and 13 $109.14
81403 MUTYH, kfv $93.94
81403 RET, kfv $93.94
81403 VHL, dup_del $83.60
81403 VWF, tsa $300.03
81404 CDKN2A, fgs $373.14
81404 KIT, tga $213.47
81404 NRAS, exon 1, 2 $148.04
81404 PDGFRA, tsa $111.44
81404 PRSS1, fgs $248.76
81404 RET, cv $94.97
81404 VHL, fgs $639.96
81405 MEN1, fgs $426.32
81405 RET, tsa $379.47
81405 VWF, tsa 2N $278.18
81406 RET, fgs $384.51

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