2022 AMA CPT Code Update

To order your 2022 CPT codes, please complete the Update Form below and fax the signed copy to our office at (985-646-1676). Per your order, your practice will see the License Fee of $50.00 per Billing Provider. In addition, you will also be provided, via the email address you provide in your update form, a receipt as notification that the 2022 CPT codes have been uploaded to your database. If you have any questions, please call our office at 800-248-4298 or via email at support@duxware.com

2022 CPT Update Form
END USER AGREEMENT TERMS
Current Procedural Terminology (CPT®) Standard

Licensee: Medical Practice Software, Inc.

End User: Practice Legal Name: _______________________________________

Term: Current year CPT Code Set

(a) Licensed Content is copyrighted by the American Medical Association and CPT is a registered trademark of the AMA.

(b) Licensee, as a party to a license agreement with the AMA, is authorized to grant End User a limited, non-exclusive, non-transferable, non-sublicensable license for End User to use Licensed Content in Licensee’s Licensed Product, Current Procedural Terminology (CPT®) Standard, for the sole purpose of internal use by End User within the Territory. The sublicense granted hereunder shall automatically terminate upon termination of the Agreement between Licensee and AMA, unless prior written consent of AMA is obtained by Licensee or a direct license between End User and AMA is entered.

(c) The provision of updated Licensed Content in the Licensed Product is dependent on a continuing contractual relationship between Licensee and the AMA and signed update form by end user for update year CPT code set.

(d) End User is prohibited from making Licensed Content publicly available, creating derivative works (including translating), transferring, selling, leasing, licensing, or otherwise making available to any unauthorized party the Licensed Product(s), or a copy or portion of Licensed Content.

(e) End User expressly acknowledges and agrees to the extent permitted by applicable law, use of the Licensed Content is at End User’s sole risk and the Licensed Content is provided “as is” without warranty of any kind. The AMA does not directly or indirectly practice medicine or dispense medical services. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The Licensed Content does not replace the AMA’s Current Procedural Terminology book or other appropriate coding authority. The coding information contained in the Licensed Content should be used only as a guide.

(f) End User is required to submit report including information necessary for the calculation of royalties payable to the AMA by the Licensee, of the same type as required of Licensee under this Agreement. All records and reports required under this Section shall be subject to audit by AMA.

Name of End User: ____________________________________________________

City, State of End User: _________________________________________________

Number of Billing Providers: __________X $50.00 =_____________Total due on next invoice

(g) End User must ensure that anyone with authorized access to the Licensed Product(s) will comply with the provisions of the End User Agreement.

(h) AMA is named as a third-party beneficiary of the End User Agreement.

(i) End User expressly consents to the release of its name to the AMA.

ACCEPTED:
By (Signature)________________________________________________

Print: ________________________________________________________

Title: ______________________________

Company Name: __________________________________________________

Date: ______________________________

Email: _________________________________

Telephone:______________________________