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 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

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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.
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Eligibility

Preventive

The "Preventive" sub-tab provides information regarding preventive services the beneficiary has received.

Screenshot

The following tables provide information for the "Preventive" sub-tab fields:

COVID-19 Immunization

myCGS will display the most recent information for the COVID-19 vaccines, boosters, and its administration.

Field Name	Description
Immunization Date	The date the patient received the COVID vaccine/booster and/or administration of the vaccine.
HCPCS Code	Lists the specific vaccine/booster code the patient received and its corresponding administration code(s).
Rendering NPI	The National Provider Identifier (NPI) of the provider who rendered the vaccine/booster and its administration.

Pneumococcal Vaccine (PPV)

This section identifies the dates of service the beneficiary received PPV (by CPT code) and the rendering provider's NPI.

Field Name	Description
Vaccination Date	The date the patient received the PPV vaccine
HCPCS Code	Lists the specific code of the vaccine the patient received
Rendering NPI	The National Provider Identifier (NPI) of the provider who rendered the vaccine

Cognitive Assessment and Care Plan Services

This section identifies if your patient received this service if signs of cognitive impairment were observed during a routine visit. Medicare covers a separate visit to assess your patient's cognitive function and develop a care plan more thoroughly.

Field Name	Description
Date of Service	The date the patient received the service
HCPCS Code	Lists CPT code 99483, which is used to bill Cognitive Assessment & Care Plan Services
Rendering NPI	The National Provider Identifier (NPI) of the provider who rendered the service

Flu Vaccination

You will find the patient's flu vaccination history in this section.

Field Name	Description
Vaccination Date	The date the patient received a flu shot
HCPCS Code	Lists the specific code of the vaccine the patient received
Rendering NPI	The National Provider Identifier (NPI) of the provider who rendered the vaccine

Screenshot

Smoking Cessation Information

Any smoker covered by Medicare is eligible to receive tobacco cessation counseling from a qualified physician/practitioner who can work with them to help them stop using tobacco.

Field Name	Description
Number of Sessions in Benefit Period	Number of smoking cessation counseling sessions available for a beneficiary during the benefit period
Initial Session Date	The beginning date for smoking cessation counseling
Benefit Period Sessions Remaining	Number of smoking cessation counseling sessions remaining for a beneficiary

Accupuncture

Effective for claims with dates of service (DOS) on and after January 21, 2020, Medicare will cover acupuncture for chronic Low Back Pain (cLBP).

Field Name	Description
Professional Sessions Eligibility date	The date the patient began receiving professional acupuncture services.
Professional Sessions Remaining	The number of professional sessions the patient has left in the benefit period (out of a total of 20 sessions.)
Technical Sessions Eligibility Date	The date the patient began receiving professional acupuncture services.
Technical Sessions Remaining	The number of technical sessions the patient has left in the benefit period (out of a total of 20 sessions.)

Deductible Remaining by Spell

This section identifies the Medicare-approved preventive services the beneficiary has received by CPT/HCPCS code and code description. Also, the dates the beneficiary is next eligible to receive services are listed as appropriate.

NOTE: Only HCPCS codes for which a beneficiary is eligible will be displayed and grouped together under their appropriate categories. If a service has been rendered, it is removed from the list until closer to the time the beneficiary is eligible to receive the service again.

Screenshot

Field Name	Description
HCPCS Code	The CPT or HCPCS code identifying the preventive service
HCPCS Label	A short descriptor of the CPT/HCPCS code identified in the first column
Next Professional Date	The date a beneficiary is next eligible for professional services associated with the indicated CPT/HCPCS code
Next Technical Date	The date a beneficiary is next eligible for technical services associated with the indicated CPT/HCPCS code
Remaining Deductible	The remaining deductible amount associated with the indicated CPT/HCPCS code
Co-insurance	The patient's portion of responsibility for the indicated CPT/HCPCS code, represented as a percentage

Print Option

For a hardcopy record of the patient's preventive service history, click the Print icon. Doing this will generate a complete copy identifying the patient's name and date of birth in the header.

Print option