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

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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.

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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.
  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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January 3, 2022Updated: 01.10.23

January is Cervical Health Awareness Month

According to the American Cancer Society (Cervical Cancer Statistics | Key Statistics for Cervical Cancer, 2022):

  • Cervical cancer used to be the most common cause of cancer death for women in the United States.
  • An estimated 14,100 women will be diagnosed with cervical cancer and of those women, almost 4,280 of them will die of the disease.
  • Cervical cancer is more commonly diagnosed in women ages 35-44. However, over 20% of cervical cancer cases occur in women over the age of 65.
  • Cervical cancer is not frequently found in women age 20 or younger and in women who have been receiving regular cervical cancer screenings prior to age 65.
  • Many women have no idea they can still develop cervical cancer as they grow older.

With early screening, diagnosis, and treatment, cervical cancer can be treatable. Increased use of Pap testing and screening has resulted in a decrease in the number of deaths from cervical cancer. Cervical Cancer Awareness Month is an opportune time to raise awareness to the importance of prevention, screening, early detection, treatment, and follow-up care of cervical cancer.

Risk factors
There are several risk factors that can increase a woman's chance of developing cervical cancer including human papillomavirus (HPV) infection, family history, sexual history, chlamydia infection, weakened immune system, long term use of oral contraceptives, smoking, prenatal history, poor diet, diethylstilbestrol (DES) exposure, and lower economic status. It is important to note that not all women with these risk factors will develop cervical cancer.

Signs and Symptoms
Oftentimes women with pre-cancer and early stages of cervical cancer do not present with any signs or symptoms. Most women do not know that they have pre-cancer or cervical cancer until they receive an abnormal Pap test. Signs and symptoms usually appear once the cervical cancer starts to grow and spread into surrounding tissue.

Screening and How is it diagnosed
The Medicare-covered preventive screening tests used for cervical cancer are the cervical cancer screening with human papillomavirus (HPV) tests, screening Pap tests, and screening pelvic examination. If abnormalities are detected during screening, further testing will be completed to determine the presence of pre-cancer or cervical cancer.

Treatment
The treatment for cervical cancer is determined by two factors: the type of cervical cancer present and the stage of the cancer. Treatment options include surgery, chemotherapy, radiation therapy, immunotherapy, and targeted drug therapy.

Prevention
You can promote cervical health and assist your patients with prevention of cervical cancer.

  • Encourage your patients to schedule annual wellness visits and screenings.
    • Medicare covers screening Pap tests and screening pelvic examinations. Discuss with your patients the importance of screening for cervical cancer and encourage them to schedule these Medicare-covered preventive services.
  • Discuss with your patients about cervical health including risk factors for cervical cancer.
  • Educate your patients about the importance of staying active and regularly exercising.
  • Educate your patients about eating a well-balanced diet. A healthy diet should:
    • Include plenty of fruits, vegetables, and whole grains
    • Be low in salt, fat, cholesterol, and excess sugar
    • Limit (or avoid) the amount of red meats and highly processed foods consumed
  • If your patients are smokers, encourage them to quit smoking. Educate your patients the link between smoking and risk for cervical cancer.
  • Discuss risks and benefits of oral contraceptives if your patient is currently using them.
  • Discuss risks and benefits of complementary and alternative medicine as treatment modalities for cervical cancer.
  • Educate your patients about different methods to reduce their exposure to HPV.
  • If applicable, discuss the risks and benefits of receiving the HPV vaccine.

To learn more about Medicare-covered services, visit CMS Preventive ServicesExternal Website:

References

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