HTA License Conformance Analysis for Da Vinci Payer Data Exchange

The content of this page is being developed with the HTA committee, and is subject to further change. Editors are welcome to use this page to pick up errors in their definitions, but should not regard the analysis as final.

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

Uses2
Expected Copyright

Current Procedural Terminology (CPT) is copyright 2020 American Medical Association. All rights reserved

Approved:To be resolved

URL Name Copyright Notes
PDexPAInstitutionalProcedureCodes Procedure Codes - AMA CPT - CMS HCPCS - CMS HIPPS
PDexPAInstitutionalProcedureCodesVS Prior Authorization Procedure Codes - AMA CPT - CMS HCPCS - CMS HIPPS

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

Uses2
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
PDexPAInstitutionalProcedureCodes Procedure Codes - AMA CPT - CMS HCPCS - CMS HIPPS

Current Procedural Terminology (CPT) is copyright 2020 American Medical Association. All rights reserved 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

PDexPAInstitutionalProcedureCodesVS Prior Authorization Procedure Codes - AMA CPT - CMS HCPCS - CMS HIPPS

Current Procedural Terminology (CPT) is copyright 2020 American Medical Association. All rights reserved

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

Uses2
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
PDexPAInstitutionalProcedureCodes Procedure Codes - AMA CPT - CMS HCPCS - CMS HIPPS

Current Procedural Terminology (CPT) is copyright 2020 American Medical Association. All rights reserved 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

PDexPAInstitutionalProcedureCodesVS Prior Authorization Procedure Codes - AMA CPT - CMS HCPCS - CMS HIPPS

Current Procedural Terminology (CPT) is copyright 2020 American Medical Association. All rights reserved

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/codes/service-type-codes (X12 Service Type Codes)

Uses1
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
PriorAuthServiceTypeCodes Prior Authorization Service Type Codes (X12)

https://codesystem.x12.org/external/886

Uses1
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
X12278ReviewDecisionReasonCode X12 278 Review Decision Reason Codes

This value set contains codes maintained by X12. All X12 work products are copyrighted. See their website for licensing terms and conditions.

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

Uses1
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
X12ClaimAdjustmentReasonCodesCMSRemittanceAdviceRemarkCodes X12 Claim Adjustment Reason Codes - Remittance Advice Remark Codes

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)

Uses1
Expected Copyright(copyright expectations unknown)
Approved:To be resolved

URL Name Copyright Notes
X12ClaimAdjustmentReasonCodesCMSRemittanceAdviceRemarkCodes X12 Claim Adjustment Reason Codes - Remittance Advice Remark Codes

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.