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                   ====2014 CPT® Code Update Form====                                     

2014 CPT® codes are available to be downloaded into your DuxWare program. Any fees and practice
created descriptions that you added in your existing codes will not be changed when updated. New
codes will automatically be added; however, deprecated codes will not be deleted as they have been
used in prior claims and may still be needed for use in claims. Deletions of deprecated codes must be
made manually by you.

2014 ICD-9 codes will not have a data update due to the impending release of ICD-10 due out in October
2014. Information about the partial freeze of ICD-9 codes can be found on the CMS website or at the
following web address http://www.cms.gov/Medicare/Coding/ICD10/ICD-9-CM-Coordination-and-
Maintenance-Committee-Meetings.html

Pricing for 2014 CPT® code sets is $ 25.00 per practice – To order your codes, please fill out this form
and send it along with your payment to Medical Practice Software. PO Box 1488, Slidell, LA 70459.

Or, you may fax it to Medical Practice Software at 985-646-1676. When we receive your fax, an invoice
will be sent to your office for payment. Your codes will be updated automatically when payment is
received.

If you have any questions please contact our office at 985-646-1665.

Date _______________________

Practice Name __________________________________________________________________

This form authorizes Medical Practice Software, Inc. to update the CPT® code set in my DuxWare
software. I agree to, and will pay the license fee for this code update which is $ 25.00.

Authorized by _____________________________________________________________________
Printed Name _____________________________________________________________________
Telephone ____________________________________________

Current Procedural Terminology (CPT) is copyright 2013 American Medical Association. All Rights Reserved.
No fee schedules, basic units, relative values, or related listings are included in CPT. The AMA assumes no liability for the data
contained herein. Applicable FARS/DFARS restrictions apply to government use.