HTA License Conformance Analysis for CARIN Consumer Directed Payer Data Exchange (CARIN IG for Blue Button®)

ADA Code on Dental Procedures and Nomenclature Value Set

This artifact incorporates content from ANSI/ADA Standard No. 218, Dentistry—Designation Systems for Teeth and Areas of the Oral Cavity, the ADA Dental Claim Form (Version 2024), and the Code on Dental Procedures and Nomenclature (CDT Code), all of which are copyrighted works of, and owned exclusively by, the American Dental Association (ADA). Implementers and users of this artifact assume full responsibility for obtaining and maintaining all necessary rights and licenses from the ADA for any use of ADA-proprietary content. For licensing information, refer to: https://www.ada.org/en/publications/ada-catalog/cdt-products/licensing-for-commercial-users

ADADentalProcedureCode

"American Dental Association (ADA) developed Current Dental Terminology (CDT®) as a standardized language to help dentists and other members of the healthcare industry communicate effectively. CDT is revised and updated every year.

The ADA is the exclusive copyright owner of CDT, the Code on Dental Procedures and Nomenclature (the Code), and the ADA Dental Claim Form. Except as permitted by law, all use, copying or distribution of CDT, or any portion thereof (including the Code on Dental Procedures and Nomenclature) in any product or services (including works prepared for clients by consultants and other professionals), whether in printed, electronic or other format, requires a valid commercial user license from the ADA."

For more information : https://www.ada.org/en/publications/ada-catalog/cdt-products/licensing-for-commercial-users

The copyright statement is wrong

https://www.nubc.org/CodeSystem/PatDischargeStatus (AHA NUBC Patient Discharge Status Codes)

AHANUBCPatientDischargeStatus

NUBC Patient Discharge Status Codes Value Set

Licensing information can be found here.

These codes are listed within the UB-04 Data Specifications Manual. The Official UB-04 Data Specifications Manual, copyrighted by the American Hospital Association, is the only official source of UB-04 billing information adopted by the National Uniform Billing Committee. No other publication—governmental or private/commercial—can be considered authoritative. The AHA wants to make you aware that the use of codes, descriptions, or any other content contained in the manual to be used in a software application, publication, or any other derivative work must be properly licensed by the AHA. If your organization uses or intends to use any of the codes or other related content from the manual in this manner, please contact the AHA’s licensing manager, Tim Carlson, at 312.893.6816 or email tcarlson@aha.org

https://www.nubc.org/CodeSystem/PointOfOrigin (AHA NUBC Point of Origin for Non-newborn)

AHANUBCPointOfOriginForAdmissionOrVisit

NUBC Point Of Origin Value Set

Licensing information can be found here.

https://www.nubc.org/CodeSystem/PointOfOriginNewborn (AHA NUBC Point of Origin for Newborn)

AHANUBCPointOfOriginForAdmissionOrVisit

NUBC Point Of Origin Value Set

Licensing information can be found here.

https://www.nubc.org/CodeSystem/PriorityTypeOfAdmitOrVisit (AHA NUBC Priority (Type) of Admission or Visit)

AHANUBCPriorityTypeOfAdmissionOrVisit

NUBC Priority (Type) of Admission or Visit Value Set

Licensing information can be found here.

https://www.nubc.org/CodeSystem/RevenueCodes (AHA NUBC Revenue Codes)

NUBC Revenue Codes Value Set

Licensing information can be found here.

https://www.nubc.org/CodeSystem/TypeOfBill (AHA NUBC Type Of Bill Codes)

NUBC Type of Bill Codes Value Set

Licensing information can be found here.

http://www.ama-assn.org/go/cpt (Current Procedural Terminology (CPT®))

AMACPTCMSHCPCSModifiers

Procedure Modifier Codes - AMA CPT - CMS HCPCS Value Set

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AMACPTCMSHCPCSProcedureCodes

Procedure Codes - AMA CPT - CMS HCPCS Value Set

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C4BBEOBInstitutionalProcedureCodes

Procedure Codes - AMA CPT - CMS HCPCS - CMS HIPPS Value Set

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https://www.cms.gov/Medicare/Coding/HCPCSReleaseCodeSets (Healthcare Common Procedure Coding System (HCPCS) level II alphanumeric codes)

Procedure Modifier Codes - AMA CPT - CMS HCPCS Value Set

AMACPTCMSHCPCSModifiers

See information on the use of HCPCS Level I (proprietary and owned by American Medical Association) and Level II codes here

AMACPTCMSHCPCSProcedureCodes

Procedure Codes - AMA CPT - CMS HCPCS Value Set

See information on the use of HCPCS Level I (proprietary and owned by American Medical Association) and Level II codes here

C4BBEOBInstitutionalProcedureCodes

Procedure Codes - AMA CPT - CMS HCPCS - CMS HIPPS Value Set

See information on the use of HCPCS Level I (proprietary and owned by American Medical Association) and Level II codes here

CMS maintains HIPPS. There are no known constraints on the use of HIPPS. See more information about HIPPS codes here

https://x12.org/codesystem.x12.org/ambulance-transport-reason-codes (X12 Ambulance Transport Reason Codes)

C4BBAmbulanceTransportReasonCodes

C4BB Ambulance Transport Reasons Value Set

This Valueset is not copyrighted.

https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ProspMedicareFeeSvcPmtGen/HIPPSCodes (Health Insurance Prospective Payment System (HIPPS))

C4BBEOBInstitutionalProcedureCodes

Procedure Codes - AMA CPT - CMS HCPCS - CMS HIPPS Value Set

See information on the use of HCPCS Level I (proprietary and owned by American Medical Association) and Level II codes here

CMS maintains HIPPS. There are no known constraints on the use of HIPPS. See more information about HIPPS codes here

http://www.cms.gov/Medicare/Coding/ICD10 (ICD-10 Procedure Codes)

CMSICD910PCSProcedureCodes

Procedure Codes - International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) - ICD-10 Procedure Value Set

The International Classification of Diseases, Tenth Revision, Procedure Coding System (ICD-10-PCS) was developed for the Centers for Medicare and Medicaid Services (CMS) available for public use. CMS is the U.S. governmental agency responsible for overseeing all changes and modifications to the ICD-10-PCS. The International Classification of Diseases, Ninth Revision, Procedure Coding System (ICD-9-PCS) was developed for the Centers for Medicare and Medicaid Services (CMS) available for public use. CMS is the U.S. governmental agency responsible for overseeing all changes and modifications to the ICD-9-PCS.

https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/AcuteInpatientPPS/MS-DRG-Classifications-and-Software (Medicare Severity Diagnosis Related Groups (MS-DRGs))

MS-DRGs - AP-DRGs - APR-DRGs Value Set

The Centers for Medicare & Medicaid Services (CMS) maintain MS-DRGs used throughout the US health care industry. The CMS MS-DRGs are free to use without restriction.

The clinical logic is maintained by a team of 3M clinicians, data analysts, nosologists, programmers and economists. The logic is proprietary to 3M but is available for licensees to view in an online definitions manual.

To license APR DRG from 3M, see request form here

http://uri.hddaccess.com/cs/apdrg (All Patient Diagnosis Related Groups (AP DRGs))

MS-DRGs - AP-DRGs - APR-DRGs Value Set

The Centers for Medicare & Medicaid Services (CMS) maintain MS-DRGs used throughout the US health care industry. The CMS MS-DRGs are free to use without restriction.

To license APR DRG from 3M, see request form here

http://uri.hddaccess.com/cs/aprdrg (All Patient Refined Diagnosis Related Groups (APR DRGs))

MS-DRGs - AP-DRGs - APR-DRGs Value Set

The Centers for Medicare & Medicaid Services (CMS) maintain MS-DRGs used throughout the US health care industry. The CMS MS-DRGs are free to use without restriction.

To license APR DRG from 3M, see request form here

https://www.cms.gov/Medicare/Coding/place-of-service-codes/Place_of_Service_Code_Set (CMS Place of Service Codes (POS))

CMS Place of Service Codes (POS) Value Set

CMSPlaceofServiceCodes

The Centers for Medicare & Medicaid Services (CMS) maintain Place Of Service (POS) codes used throughout the US health care industry. The CMS POS codes are free to use without restriction.

https://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalAcqCond/Coding (CMS Present on Admission (POA) Indicator)

CMSPresentOnAdmissionIndicator

CMS Present On Admission Indicator Codes Value Set

This ValueSet is not copyrighted.

https://x12.org/codes/claim-adjustment-reason-codes (X12 Claim Adjustment Reason Codes)

X12ClaimAdjustmentReasonCodesCMSRemittanceAdviceRemarkCodes

X12 Claim Adjustment Reason Codes - Remittance Advice Remark Codes Value Set

Intellectual Property Information

All X12 products are subject to this IP policy, including published and draft works.

X12 is the only organization authorized to grant permission for use of X12 products. Users of all X12 products should make sure that they understand the permissible uses, as well as the limitations on such usage, as outlined below.

Additional IP information can be found here: https://x12.org/products/ip-use

Licensing Information

Send an email to ip@x12.org to request permission to reproduce X12 IP. Include your name, organization, title, address, city, state, zip, email, a detailed description of the Submitted Artifact, including the underlying or cited X12 Product, and a detailed description of the intended audience and planned distribution method for the Artifact.

Additional information on X12 licensing program can be found here:

https://x12.org/products/licensing-program

Purchasing Information:

To purchase code list subscriptions call (425) 562-2245 or email admin@wpc-edi.com

The Centers for Medicare & Medicaid Services (CMS) maintain Remittance Advice Remark Codes (RARC) used throughout the US health care industry.

https://x12.org/codes/remittance-advice-remark-codes (X12 Remittance Advice Remark Codes)