Jurisdiction J Part A - HCPCS Codes Used for Skilled Nursing Facility Consolidated Billing Enforcement: April 2024 Quarterly Update (2024)

End User Point and Click Agreement

CPT codes, descriptions and other data only are copyright 2012 American Medical Association (or such other date of publication of CPT). All Rights Reserved. Applicable FARS/DFARS Clauses Apply.

You, your employees, and agents are authorized to use CPT only as contained in the following authorized materials (web pages, PDF documents, Excel documents, Word documents, text files, Power Point presentations and/or any Flash media) 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 herein must be obtained through the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago, IL 60610. Applications are available at the AMA Web site, http://www.ama-assn.org/go/cpt .

Applicable FARS/DFARS restrictions apply to government use.

U.S. Government Rights

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. The 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. The 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 Palmetto GBA or CMS and no endorsem*nt 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 CMS. THE CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. THE 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.

Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by clicking below on the button labeled “I Accept.”

LICENSE FOR USE OF “DENTAL PROCEDURE CODES” (CPT) FOURTH EDITION

End User Point and Click Agreement

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 agentsa re authorized to use CDT 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 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. 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 oflimitation, making copies of CDT for resale and/or license, transferring copies of CDT to any partynot bound by this agreement, creating any modified or derivative work of CDT, or making anycommercial use of CDT. License to use CDT for any use not authorized herein must be obtainedthrough the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611.Applications are available at the American Dental Association web site, http://www.ADA.org.
  3. Applicable Federal Acquisition Regulation Clauses (FARS)/Department of Defense FederalAcquisition Regulation supplement (DFARS) Restrictions Apply to Government Use. Please click here to see all U.S. Government Rights Provisions.
  4. Organizations who contract with CMS acknowledge that they may have a commercial CDT license with the ADA, and that use of CDT codes as permitted herein for the administration of CMS programs does not extend to any other programs or services the organization may administer and royalties dues for the use of the CDT codes are governed by their commercial license.
  5. ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. CDT 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. The ADA does not directly or indirectly practice medicine or dispense dental services. The sole responsibility for software, including any CDT and other content contained therein, is with (insert name of applicable entity) or the CMS; and no endorsem*nt 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.
  6. 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 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. 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 software. Instead you must click below on the button labeled “I DO NOT ACCEPT” and exit from this computer screen.

I have a deep understanding of the concepts mentioned in the article you provided. Let's dive into the details.

CPT Codes

CPT codes, or Current Procedural Terminology codes, are a standardized system used in the medical field to describe medical procedures and services. These codes were developed by the American Medical Association (AMA) and are widely used in the United States healthcare system. CPT codes provide a way to communicate and document medical procedures, allowing for accurate billing, insurance claims, and statistical analysis [[1]].

Copyright and Usage

The article mentions that the CPT codes, descriptions, and other data are copyrighted by the American Medical Association. This means that the AMA holds the exclusive rights to these materials and their use is subject to certain restrictions. The copyright notice states that the CPT codes are copyright 2012, but it's important to note that the copyright date may vary depending on the publication date of the specific CPT edition [[1]].

According to the article, authorized users, such as yourself, are allowed to use the CPT codes and related materials internally within your organization in the United States. This usage is limited to programs administered by the Centers for Medicare & Medicaid Services (CMS), which includes Medicare and Medicaid. It is crucial to ensure that your employees and agents comply with the terms of the agreement to avoid any unauthorized use [[1]].

The article explicitly prohibits unauthorized use of the CPT codes, such as making copies for resale or license, transferring copies to parties not bound by the agreement, creating modified or derivative works, or making commercial use of the CPT codes. If you need to use the CPT codes for any purpose not authorized in the agreement, you must obtain a license through the AMA's CPT Intellectual Property Services [[1]].

Government Use and Rights

The article also mentions that certain restrictions apply to government use of the CPT codes. The U.S. Government has limited rights to use, modify, reproduce, release, perform, display, or disclose the CPT codes and related materials. These rights are subject to specific regulations and clauses, such as the Federal Acquisition Regulation (FAR) and the Department of Defense Federal Acquisition Regulation Supplement (DFARS) [[1]].

Disclaimer of Warranties and Liabilities

The AMA provides a disclaimer of warranties and liabilities regarding the CPT codes. They state that the CPT codes are provided "as is" without any warranty, either expressed or implied. The AMA assures that the CPT codes do not manipulate or process dates, so there is no Year 2000 issue with them. However, the AMA disclaims responsibility for any errors in the CPT codes that may arise when used with software or hardware systems that are not Year 2000 compliant. The AMA also disclaims responsibility for any consequences or liability related to the use or interpretation of the information contained in the CPT codes [[1]].

Dental Procedure Codes (CDT)

The article also briefly mentions Dental Procedure Codes (CDT). These codes are used in dentistry to describe dental procedures and services. The American Dental Association (ADA) holds the copyright, trademark, and other rights in CDT. Similar to the CPT codes, the usage of CDT is subject to specific terms and conditions set forth by the ADA. Unauthorized use of CDT is prohibited, and a license must be obtained through the ADA for any use not authorized in the agreement [[2]].

Conclusion

In summary, the article you provided discusses the copyright, usage, and restrictions associated with CPT codes and Dental Procedure Codes (CDT). The American Medical Association (AMA) holds the copyright for CPT codes, while the American Dental Association (ADA) holds the copyright for CDT. It is important to comply with the terms of the agreement to ensure authorized use of these codes within your organization.

Jurisdiction J Part A - HCPCS Codes Used for Skilled Nursing Facility Consolidated Billing Enforcement: April 2024 Quarterly Update (2024)
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