Medicare Claims Processing Manual (Pub. 100-04), Ch. 23 § 20.7

Use of the American Medical Association’s (AMA’s) Physicians’ Current

Last amended: 2024Year: 2024Length: 243 wordsOfficial source
20.7 - Use of the American Medical Association’s (AMA’s) Physicians’ Current Procedural Terminology (CPT) Fourth Edition Codes, and Use of the American Dental Association’s (ADA’s) Current Dental Terminology-Fourth Edition (CDT) Codes, on A/B MACs (A)’s, (B)’s, (HHH)’s, and DME MACs’ Web Sites and Other Electronic Media (Rev. 12573, Issued: 04-09-24; Effective:08-10-20; Implementation: 08-10-20) See Business Requirements at http://www.cms.hhs.gov/manuals/pm_trans/R43CP.pdf CMS AMA-ADA-AHA Medical Codes Overview The Centers for Medicare & Medicaid Services (CMS) staff may access the following copyright protected medical codes and descriptors: • American Medical Association’s Current Procedural Terminology – AMA/CPT • American Dental Association’s Current Dental Terminology – ADA/CDT • American Hospital Association’s National Uniform Billing Codes – AHA/NUBC UB-04 CMS signed licensing agreements with the AMA, ADA, and AHA giving staff limited use of CPT, CDT, and NUBC data codes and descriptors. Access the CPT, CDT, or NUBC codes Prior to accessing the codes, CMS staff must accept the terms and conditions of an association's licensing agreement. • American Medical Association’s Current Procedural Terminology – AMA/CPT o AMA Terms and Conditions o AMA CPT Exhibits Directory • American Dental Association’s Current Dental Terminology – ADA/CDT o ADA Terms and Conditions o ADA CDT Exhibits Directory • American Hospital Association’s National Uniform Billing Codes – AHA/NUBC o AHA Terms and Conditions o AHA NUBC Exhibits Directory Any proposed usage not covered by the current agreement requires the completion of a https://surveys.cms.gov/jfe/form/SV_4UsBJoFDNs9qQD4. CMS, then, will negotiate your “new use” with the appropriate association.
Medicare Claims Processing Manual (Pub. 100-04), Ch. 23 § 20.7: Use of the American Medical Association’s (AMA’s) Physicians’ Current | Justis AI