Understanding the CPT and CDT License Agreements

This document outlines the license agreements for using the Current Procedural Terminology (CPT) and Current Dental Terminology (CDT) codes. These codes, maintained by the American Medical Association (AMA) and American Dental Association (ADA) respectively, are essential for standardized reporting and billing in healthcare and dental services. It is crucial to understand the terms and limitations associated with their use.

CPT License Agreement: Terms and Conditions

The CPT codes, descriptions, and related data are copyrighted by the AMA. Using CPT is permitted only within the scope explicitly authorized by the AMA.

Authorized Use

You are granted a limited, non-exclusive license to use CPT codes within your organization in the United States. This use is specifically restricted to internal purposes related to:

  • CGS fee schedules
  • General communications
  • Medicare Bulletins
  • Other materials authorized by CMS (Centers for Medicare & Medicaid Services)

This license is solely for use within Medicare, Medicaid, or other programs administered by CMS. It is your responsibility to ensure all employees and agents using CPT adhere to these terms.

Prohibited Uses

Any use of CPT outside the explicitly authorized scope is strictly prohibited. This includes, but is not limited to:

  • Reselling or sub-licensing CPT codes.
  • Distributing CPT codes to any party not bound by this agreement.
  • Creating derivative works or modifications of CPT.
  • Any commercial use of CPT not explicitly authorized.

For any uses beyond those permitted, you must obtain a separate license directly from the AMA. Applications for such licenses are available on the AMA website.

Government Rights

CPT is considered commercial technical data and/or computer software developed at private expense by the AMA. The U.S. Government’s rights to use, modify, reproduce, or disclose CPT are subject to specific limitations outlined in DFARS and FAR regulations, depending on the procuring agency (Department of Defense or other Federal agencies).

AMA Disclaimer of Warranties and Liabilities

CPT is provided “as is” without any warranties, express or implied, including merchantability and fitness for a particular purpose. The AMA warrants that CPT is Year 2000 compliant but disclaims responsibility for errors arising from using CPT with non-compliant systems.

It’s important to note that CPT does not include fee schedules, basic units, relative values, or related listings. The AMA does not practice medicine and is not responsible for the content’s use; this responsibility lies with CGS or CMS. The AMA disclaims liability for any consequences resulting from the use or interpretation of CPT data. Violation of this agreement will result in termination of the license. The AMA is a third-party beneficiary to this agreement.

CMS Disclaimer

The AMA, as the copyright holder, determines the scope of the CPT license. Any licensing inquiries should be directed to the AMA, not CMS. End users of CPT are not acting on behalf of CMS, and CMS disclaims any liability for end-user use of CPT. CMS is not liable for inaccuracies or omissions in CPT data and shall not be responsible for any damages arising from its use. Violation of the license terms will lead to termination. The AMA is a third-party beneficiary to this license.

CDT License Agreement: Terms and Conditions

Similar to CPT, the Current Dental Terminology (CDT) is copyrighted by the American Dental Association (ADA). Use of CDT is contingent upon accepting the terms of this license agreement.

Acceptance of Terms

By clicking “I ACCEPT,” you acknowledge that you have read, understood, and agree to all terms and conditions outlined in this agreement. If you disagree, clicking “I DO NOT ACCEPT” will exit the license agreement. If acting on behalf of an organization, you affirm your authority to bind the organization to this agreement. “You” and “Your” refer to you and any organization you represent.

Authorized Use of CDT-4

Subject to the agreement terms, you, your employees, and agents are authorized to use CDT-4 solely for internal use within your organization in the United States and its territories. This use is limited to programs administered by CMS. You are responsible for ensuring your staff complies with these terms. The ADA retains all rights to CDT-4, and you must not remove or alter any copyright notices.

Prohibited Uses of CDT-4

Any use not explicitly authorized is prohibited, including:

  • Reselling or licensing CDT-4.
  • Transferring CDT-4 to unauthorized parties.
  • Creating derivative works of CDT-4.
  • Commercial use of CDT-4 without explicit authorization.

To use CDT-4 outside these terms, a license must be obtained from the ADA, with applications available on the American Dental Association website.

U.S. Government Rights

Government use of CDT-4 is subject to Federal Acquisition Regulation Clauses (FARS) and Department of Defense Federal Acquisition Regulation Supplement (DFARS) restrictions. Further details on U.S. Government Rights Provisions are available here.

ADA Disclaimer of Warranties and Liabilities

CDT-4 is provided “as is” without warranties, express or implied, including merchantability and fitness for a particular purpose. CDT-4 does not include fee schedules or related listings. The ADA does not practice dentistry and is not responsible for the software’s content. The entity providing the software or CMS is solely responsible for the content. The ADA disclaims liability for consequences arising from the use or interpretation of CDT-4 data. License violation leads to termination. The ADA is a third-party beneficiary to this agreement.

CMS Disclaimer

The ADA determines the scope of the CDT-4 license. Direct all license inquiries to the ADA. End users do not represent CMS, and CMS disclaims liability for end-user use of CDT-4. CMS is not liable for inaccuracies in CDT-4 data or damages from its use. License violation will result in termination. The ADA is a third-party beneficiary to this license.

By clicking “I ACCEPT”, you agree to these terms. If you disagree, click “I DO NOT ACCEPT” to exit.

Comments

No comments yet. Why don’t you start the discussion?

Leave a Reply

Your email address will not be published. Required fields are marked *