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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.

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.

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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.
  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.
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  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.

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May 5, 2022

May Is National Osteoporosis Month

Facts about Osteoporosis:

  • In the United States, an estimated 10.2 million people have been diagnosed with osteoporosis and an estimated 43.4 million people have been diagnosed with low bone mass (What Is the Prevalence of Osteoporosis in the US?, 2021).
  • In the United States, osteoporosis accounts for about two million broken bones per year; however, almost 80 % of older adults diagnosed with bone breaks are not tested or treated for osteoporosis (Osteoporosis-Fast-Facts.pdf, n.d.).
  • It is projected that osteoporosis will account for three million fractures by the year 2025 at a subsequent cost of $25.3 billion (Osteoporosis-Fast-Facts.pdf, n.d.).
  • According to the CDC, about 20% of women 50 years of age and older and about 5% of men 50 years of age and older are affected by osteoporosis. (Does Osteoporosis Run in Your Family? | CDC, 2020).

May is National Osteoporosis Awareness Month. Osteoporosis is a preventable and treatable disease Oftentimes, people don’t know that they have it until a catastrophic event, such as a fall, causes a broken bone. National Osteoporosis Awareness Month is dedicated to educating the public on the importance of prevention, screening, and treatment of osteoporosis.

Osteoporosis occurs when the body is not being able to form enough new bone to compensate for loss of old bone. The body either loses too much bone, makes too little bone, or does both. They, in turn, become porous and fragile and therefore weaken. Bone density and mass decrease.

Signs and Symptoms
Early bone loss is asymptomatic. Unfortunately, many people do not know that their bones are becoming osteoporotic until they break a bone. The signs and symptoms of osteoporosis appear once the bones have become porous and weakened.

Screening
The Medicare-covered preventive screening tests used for osteoporosis are bone mass measurements (bone [mineral] density studies)- the dual energy x-ray absorptiometry (DEXA/DXA) and the single energy x-ray absorptiometry (SEXA).

  • These tests can assist the health care provider in determining the strength of the bones, whether the patient has a diagnosis of osteopenia or osteoporosis, and whether the patient is more at risk for fractures because of the low bone density.
  • Results from the bone density test also guide the health care provider in making an appropriate treatment plan for the patient.

Treatment/Prevention
Osteoporosis may be preventable with early interventions, regular screening, and follow-up care. There are several interventions health care providers can take to promote bone health and assist their patients with prevention of osteoporosis.

  • Encourage your patients to schedule annual wellness visits and health screenings. Medicare covers Bone Mass Measurements (also known as Bone [Mineral] Density Studies) for those patients that qualify. Discuss this Medicare covered benefits with your patients and encourage them to enroll if applicable.
  • Talk to your patients about bone health including risk factors for osteoporosis.
  • Talk with your patients about the importance of staying active and regularly exercising.
    • Instruct your patients on the importance of performing both weight-bearing and muscle strengthening exercises.
    • Inform your patients to avoid any activities that may put a strain on the spine, such as bending forward at the waist, performing sit-ups, performing toe touches, or swinging a baseball bat or golf club.
  • Educate your patients about eating a well-balanced diet. A healthy diet should:
    • Include plenty of fruits, vegetables, and whole grains
    • Include foods that are high in calcium and Vitamin D
    • Be low in salt, saturated fats, trans fats, cholesterol, and excess sugar
    • Contain foods high in fiber
  • Discuss with your patients about the importance of maintaining a healthy weight and the relationship between weight and bone health.
  • Discuss the importance of reducing fall hazards in the home such as poor lighting, cluttered walkways, unsecured rugs on the floor, and steep steps.
    • Refer patients to ophthalmologist or optometrist if your patient has not had a recent vision checkup or is exhibiting signs of visual impairment.
    • If appropriate, request a consult from a social worker to perform a home assessment.
  • Encourage your patients to refrain from or to limit use of alcohol.
  • If your patients are smokers, encourage them to quit smoking. Educate your patients the link between smoking and risk for osteoporosis.
  • Review any medications your patient may be currently taking to ensure that they do not affect your patient’s bone health. Educate your patients on the importance of taking medications that can strengthen the bones (such as calcium and vitamin D supplements) and avoiding medications that may weaken their bones (such as steroids) if possible.
  • If your patients are currently on medications for osteoporosis, review the importance of regularly taking medications. Address any questions they may have regarding the medications prescribed.

For More Information
CMS Preventive Services GuidelinesExternal Website

Other Resources

References

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