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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.

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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.
  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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August 31, 2023

Quarterly Update to the MPFSDB – October 2023

A summary of the changes for the October update to the 2023 Medicare Physician Fee Schedule Database (MPFSDB) is indicated below. Unless otherwise stated, these changes are effective for dates of service on and after January 1, 2023.

See the CMS HCPCS Quarterly UpdateExternal Website for more information on the new and revised codes.

Revised HCPCS codes from the October 2023 HCPCS file update effective for dates of service on or after April 18, 2023

Code Action
91300 Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
91301 Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
91305 Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
91306 Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
91307 Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
91308 Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
91309 Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
91311 Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0001A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0002A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0003A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0004A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0011A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0012A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0013A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0051A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0052A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0053A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0054A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0064A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0071A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0072A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0073A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0074A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0081A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0082A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0083A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0091A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0092A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0093A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0094A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0111A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0112A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0113A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.

Revised HCPCS codes from the October 2023 HCPCS file update effective for dates of service on or after June 1, 2023

Code Action
0031A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
0034A Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
91303 Procedure Status = I; there are no RVUs, payment policy indicators do not apply.

New HCPCS codes effective for dates of service on or after April 18, 2023

Code Action
0121A Procedure Status = X; there are no RVUs, payment policy indicators do not apply.
0141A Procedure Status = X; there are no RVUs, payment policy indicators do not apply.
0142A Procedure Status = X; there are no RVUs, payment policy indicators do not apply.
0151A Procedure Status = X; there are no RVUs, payment policy indicators do not apply.
0171A Procedure Status = X; there are no RVUs, payment policy indicators do not apply.
0172A Procedure Status = X; there are no RVUs, payment policy indicators do not apply.

New HCPCS code effective for dates of service July 6, 2023, and after

Code Action
J0174 Procedure Status = E; there are no RVUs, payment policy indicators do not apply.

New HCPCS codes effective for dates of service October 1, 2023, and after

Code Action
J0349 Procedure Status = E; there are no RVUs, payment policy indicators do not apply.
J0801 Procedure Status = E; there are no RVUs, payment policy indicators do not apply.
J0802 Procedure Status = E; there are no RVUs, payment policy indicators do not apply.
J0874 Procedure Status = E; there are no RVUs, payment policy indicators do not apply.
J0889 Procedure Status = E; there are no RVUs, payment policy indicators do not apply.
J2359 Procedure Status = E; there are no RVUs, payment policy indicators do not apply.
J2781 Procedure Status = E; there are no RVUs, payment policy indicators do not apply.
J7214 Procedure Status = E; there are no RVUs, payment policy indicators do not apply.
J7353 Procedure Status = E; there are no RVUs, payment policy indicators do not apply.
J7519 Procedure Status = E; there are no RVUs, payment policy indicators do not apply.
J9051 Procedure Status = E; there are no RVUs, payment policy indicators do not apply.
J9064 Procedure Status = E; there are no RVUs, payment policy indicators do not apply.
J9345 Procedure Status = E; there are no RVUs, payment policy indicators do not apply.
Q4285 Procedure Status = E; there are no RVUs, payment policy indicators do not apply.
Q4286 Procedure Status = E; there are no RVUs, payment policy indicators do not apply.
A2022 Procedure Status = C; there are no RVUs, payment policy indicators do not apply.
A2023 Procedure Status = C; there are no RVUs, payment policy indicators do not apply.
A2024 Procedure Status = C; there are no RVUs, payment policy indicators do not apply.
A2025 Procedure Status = C; there are no RVUs, payment policy indicators do not apply.
A9156 Procedure Status = X; there are no RVUs, payment policy indicators do not apply.
A9268 Procedure Status = N; there are no RVUs, payment policy indicators do not apply.
A9269 Procedure Status = N; there are no RVUs, payment policy indicators do not apply.
A9292 Procedure Status = X; there are no RVUs, payment policy indicators do not apply.
H2040 Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
H2041 Procedure Status = I; there are no RVUs, payment policy indicators do not apply.
V2526 Procedure Status = N; there are no RVUs, payment policy indicators do not apply.
A9573 Procedure Status = X; there are no RVUs, payment policy indicators do not apply.
A9603 Procedure Status = X; there are no RVUs, payment policy indicators do not apply.
A9697 Procedure Status = X; there are no RVUs, payment policy indicators do not apply.

HCPCS codes deleted from the MPFS

Code Action Effective for dates of service on or after
J9321 Procedure Status = I July 1, 2023
J0800 Procedure Status = I October 1, 2023

Revised short descriptors

Code Short Descriptor Effective for dates of service on or after
0124A Adm sarscv2 bvl 30mcg/.3ml a April 18, 2023
0134A Adm sarscv2 bvl 50mcg/.5ml a April 18, 2023
0144A Adm srscv2 bvl 25mcg/.25ml 2 April 18, 2023
0154A Adm sarscv2 bvl 10mcg/.2ml a April 18, 2023
0164A Adm srscv2 bvl 10mcg/0.2ml a April 18, 2023
0174A Adm sarscv2 bvl 3mcg/0.2ml a April 18, 2023
J9323 Inj pemetrexed ditromethamin July 1, 2023

Reference: Change Request (CR) 13316External Website

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