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.


Print | Bookmark | Email | Font Size: + |

June 1, 2022

September is National Atrial Fibrillation Awareness Month

Facts

  • By the year 2030, it is projected that 12.1 million Americans will have atrial fibrillation (AFib).1
  • Atrial fibrillation contributes to approximately 158,000 deaths annually. This number has been rising over two decades.1
  • Approximately one in every five cases of AFib is related to a diagnosis of high blood pressure.1
  • Approximately 22% of all strokes are related to atrial fibrillation.2
  • AFib causes around one in every seven strokes.1
  • In individuals over the age of 80, AFib causes one in every four strokes.3
  • AFib places a person at an estimated five times greater risk of having an ischemic stroke.1

September is National Atrial Fibrillation Awareness Month. This month focuses on educating the public on the diagnosis and treatment of atrial fibrillation. It also includes identification of risk factors that may lead to atrial fibrillation as well as prevention techniques to promote a healthy heart and healthy lifestyle.

Atrial fibrillation is a the most common type of cardiac arrythmia. Patient with AFib present with an irregular heart rhythm and a faster than normal heart rate.

Signs and Symptoms
Signs and symptoms include heart palpitations, irregular heartbeat, fatigue, chest pain, shortness of breath, dizziness/lightheadedness, fainting, and low blood pressure. However, some people may be asymptomatic and therefore unaware that they have AFib.

Risk factors
Risk factors for atrial fibrillation may include but are not limited to increased age, family history, obesity, smoking, moderate to heavy alcohol use, stress, and presence of pre-existing medical conditions (high blood pressure, diabetes, hyperthyroidism, heart disease, heart failure, sleep apnea, and chronic kidney disease).

Complications
Complications of AFib include blood clots, CVA (stroke), myocardial infarctions, heart failure, and cognitive impairment/dementia.

Screening and Diagnosis
Screening and testing are performed to diagnose AFib as well as rule out other conditions that present with similar signs and symptoms. Screening and testing interventions may include auscultation of the heart, palpation of the pulse, electrocardiogram (EKG/ECG), Holter monitor, event monitor/recorder, echocardiogram, stress test, blood work, and chest X-ray.

Treatment
Goals include managing the heart’s rate and rhythm, preventing complications from AFib from developing, preventing clots from forming, and managing overall AFib risk factors.

Treatment may include:

  • Medications
  • Cardioversion
  • Medical/surgical procedures, such as catheter ablation, surgical ablation (Maze procedure), placement of atrial pacemaker, and closure of the left atrial appendage
  • Lifestyle modifications

Prevention
There are several steps you can take to promote the health of your Medicare beneficiaries.

  • Encourage your patients to schedule annual wellness visits and health screenings.
  • Talk to your patients about heart health including risk factors for cardiovascular disease.
  • Educate your patients on healthy habits such as exercising, eating a well-balanced diet including foods that are low in salt, fat, and cholesterol, lowering stress levels, limiting or refraining from caffeine use, controlling weight (or losing weight if needed), and getting enough sleep.
  • Encourage your patients to refrain from or to limit use of alcohol. Discuss with your patients the link between alcohol use, cardiovascular disease, and the risk of atrial fibrillation.
  • Encourage your patients to quit smoking. Instruct your patients on the effects of smoking and the link between smoking, cardiovascular disease, and the risk of atrial fibrillation. Medicare covers counseling to prevent tobacco use for those patients who qualify. Discuss this Medicare covered benefit with your patients and encourage them to enroll.
  • Educate your patients on the signs and symptoms of a CVA (cerebrovascular accident)- also known as a stroke.
    • F- Face (Ask the person to smile and look for one-sided facial drooping.)
    • A-Arms (Ask the person to raise both arms and look for one-sided arm drifting.)
    • S- Speech (Ask the person to say a simple phrase and note for slurring or unusual speech.)
    • T-Time (Call 9-1-1 if any of the above signs are present. Note the time when the signs/symptoms first occurred.)
    • Please note- the acronym B.E F.A.S.T. may also be used when determining the signs and symptoms of a stroke.6  The B stands for Balance (difficulty with balance or coordination) and the E stands for Eyes (sudden loss of vision in one of both eyes ; sudden onset of blurry vision or diplopia).
  • Monitor your patients’ blood pressure levels. Manage and treat accordingly. Educate your patients about the relationship between elevated blood pressure, cardiovascular disease, and the risk of atrial fibrillation.
  • Medicare covers Cardiovascular Disease Screening Test,  Intensive Behavioral Therapy (IBT) for Cardiovascular Disease, and Intensive Behavioral Therapy (IBT) for Obesity for those patients who qualify. Discuss this Medicare covered benefits with your patients and encourage them to enroll if applicable.
  • If your patients are diabetic, monitor their blood glucose levels. Manage and treat accordingly. Educate your patients about the relationship between elevated blood glucose levels, cardiovascular disease, and the risk of atrial fibrillation.
  • If your patients are prescribed preventive medications (such as anti-platelet drugs and anticoagulants) or currently on cardiovascular or diabetic medications, review the importance of regularly taking medications. Address any questions they may have regarding the medications prescribed, including safety precautions while taking these medications.

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

For More Information

CMS.gov and Medicare.gov Resources

Other Resources

References

  1. Atrial Fibrillation | cdc.gov. (2021, September 27). Centers for Disease Control and Prevention. https://www.cdc.gov/heartdisease/atrial_fibrillation.htmExternal Website
  2. stopafib. (2021, July 13). Stroke Risks From Atrial Fibrillation — StopAfib.org. https://www.stopafib.org/learn-about-afib/why-is-afib-a-problem/stroke-risks-from-afib/External Website
  3. Atrial Fibrillation and Stroke Information Page | National Institute of Neurological Disorders and Stroke. (2022, April 1). National Institute of Neurological Disorders and Stroke. https://www.ninds.nih.gov/Disorders/All-Disorders/Atrial-Fibrillation-and-Stroke-Information-PageExternal Website
  4. Atrial Fibrillation - What Is Atrial Fibrillation? | NHLBI, NIH. (2022, March 24). National Heart, Lung, and Blood Institute. https://www.nhlbi.nih.gov/health/atrial-fibrillationExternal Website
  5. Atrial fibrillation - Symptoms and causes. (2021, October 19). Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/atrial-fibrillation/symptoms-causes/syc-20350624External Website
  6. Know the Signs of Stroke - BE FAST | Duke Health. (2021, September 23). Duke Health. https://www.dukehealth.org/blog/know-signs-of-stroke-be-fastExternal Website

spacer

26 Century Blvd Ste ST610, Nashville, TN 37214-3685 © CGS Administrators, LLC. All Rights Reserved