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yljatlhQo'! QIch lo'laltbebej!
Funny thing that just crossed my desk
from the American Medical Association, Allah's peace be upon them, in "cpt distribution license appln.doc".
4. Redistribution of CPT material alone is not permitted; licensed products must

include additional code-level content (i.e., content that appears when codes

are displayed). For example, in an electronic medial record, the added content

would be the patient encounter information such as date, patient name, and

. List the additional code-level content that will be contained in the


So, basically, in these terms you have to include HIPAA protected patient data (PHI) in order to satisfy AMA's licensing. That's ... funny. I wonder if anyone has told Medicare about that, or if others have complied, if any of them have been busted. Yet.

For expats and foreigners, I'll note that HIPAA is a big ol' bundle of legislation passed by the US Congress in the late 1990s that set up guidelines for protecting the privacy and security of healthcare data the the US. It's mandatory, and violations are Federal crimes with big penalties for organizations and individuals. AMA is merely the largest lobbying organization in the USA and they hold the copyright over the procedure codes used by the entire US healthcare system.

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3 comments or Leave a comment
sotto_voce From: sotto_voce Date: February 6th, 2009 06:59 pm (UTC) (Link)
If it is being used for TPO (treatment, payment or healthcare operations) it should be fine, as long as it isn't disclosed beyond those purposes.
adric From: adric Date: February 6th, 2009 07:03 pm (UTC) (Link)


The license is for inclusion in publications. We can only imagine they want us to make up some PHI for use in our advisory and educational materials?

I'll repeat myself here for good measure: We are not a provider or healthcare organization and we do not have any PHI.
sotto_voce From: sotto_voce Date: February 6th, 2009 07:09 pm (UTC) (Link)

Re: Hmm.

I don't think so.

In your situation, you are creating testing software and/or publications that utilize the codes. I think the they are saying you can't just have lists of CPT without any "added value" or "additional content". I would suggest that the test question or surrounding paragraph regarding the code would be the additional content.
3 comments or Leave a comment