Skip to Main Content
  • Email Updates
  • eServices Portal
  • Contact Us
  • Palmetto GBA
homeIconJurisdiction J Part A
    • Topics
      Speech Balloon With Five Stars

      Improve Your Experience

      Take our satisfaction surveys and read about recent enhancements to our tools and services.

      Get Started
      • Appeals
      • Audit and Reimbursement
      • Change Healthcare Security Incident
      • Claims
      • Comprehensive Error Rate Testing (CERT)
      • Credit Balance Reporting (CMS-838)
      • Customer Service
      • Electronic Data Interchange (EDI)
      • Emergency and Disaster Instructions
      • eServices Portal
      • Events and Education
      • Facilities and Organizations
      • Fee Schedules
      • Frequently Asked Questions
      • Improve Your Experience
      • Inpatient Rehabilitation Facility Review Choice Demonstration
      • Medical Policies
      • Medical Review
      • Medicare News
      • Medicare Secondary Payer (MSP)
      • MolDX
      • New to Medicare
      • Overpayments and Recoupment
      • Provider Enrollment
      • Recovery Audit Contractor
    • Tools
      • 340B Drug Program Reimbursement Calculator
      • ADR Response Calculator
      • Appeals Calculator
      • Charge Denial Rate Calculator
      • Medically Unlikely Edits Lookup Tool
      • Outpatient Department Prior Authorization Calculator
      • Skilled Nursing Patient Driven Payment Model
      • eServices Portal
      • Frequently Asked Questions
      • Identify a Provider
      • IVR Conversion Tool
      • Medicare Advantage Plan Directory
      • Medicare Dictionary
      • National Correct Coding Initiative Edits
      • Provider Address Job Aid
      • Reason Code Help Tool
      • 277CA Edit Lookup Tool
      • Appeals Status Tool
      • Cost Report Status
      • Credit Balance Report Status Tool
      • Device-Intensive Procedure and Device Code Search
      • EDI Enrollment Status Tool
      • EDI Online Enrollment Tool
      • EDI System Status
      • IRF RCD Choice Selection Status Tool
      • IRF RCD Pre-Claim Review Status Tool
      • Medical Review Denial Reason Code Tool
      • Medicare Secondary Payer (MSP) Lookup
      • Outpatient Prior Authorization Status Tool
      • Advance Beneficiary Notice of Noncoverage (ABN)
      • DDE Training Modules
      • EDI Enrollment Instructions Guide Module
      • Part A Remittance Advice
      • Uniform Bill (UB-04)
        • EDI Tools MSP Lookup Provider Enrollment Application
      • Enrollment Application Status Lookup
      • Overpayment Interest Calculator
    • Forms
    • Events and Education
      • Today's Events
      • Register Now

      • Resources

      • Autumn Run
      • Education On Demand
      • MACtoberfest: Sept. 23–25
      • Provider Outreach and Education Advisory Group (POE-AG)
    • Events and Education
      • Autumn Run
      • Education On Demand
      • MACtoberfest: Sept. 23–25
      • Provider Outreach and Education Advisory Group (POE-AG)
    • New to Medicare

    {"DID":"crit11bb5d","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"08-28-2024 09:45","End Date":"09-02-2024 17:30","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed Monday, September 2, 2024, in observance of Labor Day.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crit15b5b5","Sites":"JJA","Start Date":"10-28-2024 13:03","End Date":"11-12-2024 13:00","Content":"Registration is now open for the Autumn Run Education Tour. ","URL":"/palmetto/jja.nsf/DID/7CNDSGJ7KX","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crit34dea1","Sites":"JJA^JJB^JMA^JMB^JMHHH^Railroad Medicare","Start Date":"07-22-2024 08:25","End Date":"07-22-2024 08:30","Content":"Web chat is unavailable due to a system outage. We are working to resolve the issue and will remove this banner once the system is available.","URL":"","Target":"_self","Color":"red","Mode":"Standard\n","Priority":"yes"}, {"DID":"crit44d12e","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"10-23-2024 10:46","End Date":"10-25-2024 17:35","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed for an eight-hour training on Friday, October 25, 2024, for staff training. Please note that the webchat feature will be unavailable at this time.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crit4e5c4e","Sites":"JJA^JMA^JMB^JMHHH^JJB","Start Date":"06-14-2024 14:06","End Date":"06-20-2024 06:07","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed Wednesday, June 19, 2024, in observance of the Juneteenth holiday. Please note that the chat feature will not be available when the PCC is closed.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"yes"}, {"DID":"crit5b152d","Sites":"JJA^JJB^JMA^JMB^Railroad Medicare","Start Date":"09-02-2024 18:00","End Date":"09-22-2024 08:36","Content":"Registration is open for the 2024 MACtoberfest education event in Columbia, S.C. Please plan to attend.","URL":"https://web.cvent.com/event/4c4a964e-0c1a-45a8-a4d4-9d8ead85dc11/summary","Target":"_blank","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"crita42d51","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"08-31-2023 15:00","End Date":"09-04-2023 17:00","Content":"The Palmetto GBA Provider Contact Center (PCC) will be closed Monday, September 4, 2023, in observance of Labor Day.","URL":"","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"critaa2c52","Sites":"JJA","Start Date":"10-22-2024 13:15","End Date":"10-22-2024 14:00","Content":"Palmetto GBA is currently experiencing longer than normal Medicare enrollment application processing times. We are actively working to return to our standard processing times, and we regret any inconvenience this may cause. To monitor the progress of your application, please use the Enrollment Application Status Lookup tool on our website. Thank you for your understanding and patience.","URL":"https://www.palmettogba.com/internet/PCIDN.nsf/R?OpenAgent&DID=BBHR2975&url=yes&v3=yes","Target":"_self","Color":"yellow","Mode":"Standard\n","Priority":"yes"}, {"DID":"critb5d1bb","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"09-25-2024 12:55","End Date":"10-04-2024 17:00","Content":"Due to Hurricane Helene, the Provider Contact Center may experience longer than usual wait times.","URL":"","Target":"_self","Color":"yellow","Mode":"Standard\n","Priority":"yes"}, {"DID":"critba251d","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"06-25-2024 15:12","End Date":"07-04-2024 22:00","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed Thursday, July 4, 2024, in observance of Independence Day.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"critbc45da","Sites":"JJA^JJB^JMA^JMB","Start Date":"08-21-2024 10:45","End Date":"08-23-2024 12:05","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed from 8 a.m. to 12 p.m. ET on Friday, August 23, 2024, for staff training. Please note that the webchat feature will be unavailable at this time.","URL":"","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"critcd1cce","Sites":"JJA^JJB^JMA^JMB^JMHHH^Railroad Medicare","Start Date":"09-16-2024 10:40","End Date":"09-16-2024 12:00","Content":"The eServices portal is currently unavailable. We are working to resolve the issue and will remove this banner once the portal is available.","URL":"","Target":"_self","Color":"red","Mode":"Standard\n","Priority":"no"}, {"DID":"critcd5b1b","Sites":"JJA^JJB^JMA^JMB^JMHHH^Railroad Medicare","Start Date":"09-16-2024 12:17","End Date":"09-16-2024 14:00","Content":"Currently, the eServices portal is intermittently unavailable. We are working to resolve the issue and will remove this banner once functionality is restored.","URL":"","Target":"_self","Color":"red","Mode":"Standard\n","Priority":"yes"}, {"DID":"critdc3d32","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"05-23-2024 00:00","End Date":"05-27-2024 23:00","Content":"The Palmetto GBA Provider Contact Center (PCC) will be closed Monday, May 27, 2024, in observance of Memorial Day.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"critee34e3","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"08-07-2024 09:00","End Date":"08-09-2024 12:30","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed from 8 a.m. to 12 p.m. ET on Friday, August 9, 2024, for staff training. Please note that the webchat feature will be unavailable at this time.","URL":"","Target":"_self","Color":"blue","Mode":"Standard\n","Priority":"no"}, {"DID":"criteeae4b","Sites":"JJA^JJB^JMA^JMB^JMHHH","Start Date":"09-10-2024 13:06","End Date":"09-13-2024 13:00","Content":"The Palmetto GBA Jurisdictions J and M Provider Contact Center (PCC) will be closed from 8 a.m. to 12 p.m. ET on Friday, September 13, 2024, for staff training. Please note that the webchat feature will be unavailable at this time.","URL":"","Target":null,"Color":"blue","Mode":"Standard\n","Priority":"yes"}
    13

    Subscribe to Email Updates

    Subscribing to our email updates is quick, easy and free!

    Enter your email address below and select the topics that interest you. We won't share your email address with anyone, and usually only send one email per day. You can also change your email settings or unsubscribe.

    You may already be registered

    Topic Selection

    Other Palmetto GBA Sites

    Receive updates about other Palmetto GBA websites, consolidated into a single nightly email.

      • Select specific topics
      • Select specific topics
      • Select specific topics
      • Select specific topics
      • Select specific topics
      • Select specific topics
      • Select specific topics
      • Select specific topics

    CAPTCHA

    Please answer the math problem below to prove you're not a robot.

    7 + 6 =

    Submit

    After you click "Submit", a confirmation email will be sent to your email address within the next 10 minutes. Please use the link provided in the email to confirm your registration. Please check your spam folder if you do not receive the email.

    Error: You must provide a valid email address

    Error: Email addresses do not match

    Error: You must select at least one topic

    Error: Address already exists

    Licenses & Notices

    End User Point and Click Agreement

    CPT codes, descriptions and other data only are copyright 2012 American Medical Association (or such other date of publication of CPT). All Rights Reserved. Applicable FARS/DFARS Clauses Apply.

    You, your employees, and agents are authorized to use CPT only as contained in the following authorized materials (web pages, PDF documents, Excel documents, Word documents, text files, Power Point presentations and/or any Flash media) internally within your organization within the United States for the sole use by yourself, employees, and agents. Use is limited to use in Medicare, Medicaid, or other programs administered by the Centers for Medicare & Medicaid Services (CMS). You agree to take all necessary steps to insure that your employees and agents abide by the terms of this agreement.

    Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. License to use CPT for any use not authorized herein must be obtained through the AMA, CPT Intellectual Property Services, 515 N. State Street, Chicago, IL 60610. Applications are available at the AMA Web site, http://www.ama-assn.org/go/cpt .

    Applicable FARS/DFARS restrictions apply to government use.

    U.S. Government Rights

    This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, 515 North State Street, Chicago, Illinois, 60610. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of DFARS 252.227-7015(b)(2)(June 1995) and/or subject to the restrictions of DFARS 227.7202-1(a)(June 1995) and DFARS 227.7202-3(a)(June 1995), as applicable for U.S. Department of Defense procurements and the limited rights restrictions of FAR 52.227-14 (June 1987) and/or subject to the restricted rights provisions of FAR 52.227-14 (June 1987) and FAR 52.227-19 (June 1987), as applicable, and any applicable agency FAR Supplements, for non-Department Federal procurements.

    AMA Disclaimer of Warranties and Liabilities

    CPT is provided “as is” without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. The AMA warrants that due to the nature of CPT, it does not manipulate or process dates, therefore there is no Year 2000 issue with CPT. The AMA disclaims responsibility for any errors in CPT that may arise as a result of CPT being used in conjunction with any software and/or hardware system that is not Year 2000 compliant. No fee schedules, basic unit, relative values or related listings are included in CPT. The AMA does not directly or indirectly practice medicine or dispense medical services. The responsibility for the content of this file/product is with Palmetto GBA or CMS and no endorsement by the AMA is intended or implied. The AMA disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. This Agreement will terminate upon notice if you violate its terms. The AMA is a third party beneficiary to this Agreement.

    CMS Disclaimer

    The scope of this license is determined by the AMA, the copyright holder. Any questions pertaining to the license or use of the CPT must be addressed to the AMA. End Users do not act for or on behalf of CMS. THE CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. THE CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material.

    Should the foregoing terms and conditions be acceptable to you, please indicate your agreement and acceptance by clicking below on the button labeled “I Accept.”

    LICENSE FOR USE OF “DENTAL PROCEDURE CODES” (CPT) FOURTH EDITION

    End User Point and Click Agreement

    The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. By clicking below on the button labeled “I accept”, you hereby acknowledge that you have read, understood and agreed to all terms and conditions set forth in this agreement.

    If you do not agree with all terms and conditions set forth herein, click below on the button labeled “I do not accept” and exit from this computer screen.

    If you are acting on behalf of an organization, you represent that you are authorized to act on behalf of such organization and that your acceptance of the terms of this agreement creates a legally enforceable obligation of the organization. As used herein, “you” and “your” refer to you and any organization on behalf of which you are acting.

    1. Subject to the terms and conditions contained in this Agreement, you, your employees and agentsa re authorized to use CDT only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials.
    2. Any use not authorized herein is prohibited, including by way of illustration and not by way oflimitation, making copies of CDT for resale and/or license, transferring copies of CDT to any partynot bound by this agreement, creating any modified or derivative work of CDT, or making anycommercial use of CDT. License to use CDT for any use not authorized herein must be obtainedthrough the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611.Applications are available at the American Dental Association web site, http://www.ADA.org.
    3. Applicable Federal Acquisition Regulation Clauses (FARS)/Department of Defense FederalAcquisition Regulation supplement (DFARS) Restrictions Apply to Government Use. Please click here to see all U.S. Government Rights Provisions. 
    4. Organizations who contract with CMS acknowledge that they may have a commercial CDT license with the ADA, and that use of CDT codes as permitted herein for the administration of CMS programs does not extend to any other programs or services the organization may administer and royalties dues for the use of the CDT codes are governed by their commercial license.
    5. ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. CDT is provided “as is” without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. No fee schedules, basic unit, relative values or related listings are included in CDT. The ADA does not directly or indirectly practice medicine or dispense dental services. The sole responsibility for software, including any CDT and other content contained therein, is with (insert name of applicable entity) or the CMS; and no endorsement by the ADA is intended or implied. The ADA expressly disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. This Agreement will terminate upon notice to you if you violate the terms of this Agreement.
      The ADA is a third party beneficiary to this Agreement.
    6. CMS DISCLAIMER. The scope of this license is determined by the ADA, the copyright holder. Any questions pertaining to the license or use of the CDT should be addressed to the ADA. End Users do not act for or on behalf of the CMS. CMS disclaims responsibility for any liability attributable to end user use of the CDT. CMS will not be liable for any claims attributable to any errors, omissions, or other inaccuracies in the information or material covered by this license. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material.

    The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. If the foregoing terms and conditions are acceptable to you, please indicate your agreement by clicking below on the button labeled “I Accept”. If you do not agree to the terms and conditions, you may not access or use software. Instead you must click below on the button labeled “I DO NOT ACCEPT” and exit from this computer screen.

    I Do Not Accept
    No^^Yes
    Point and Click Language AMA, ADA, & AHA Combined

    Please review the licensing information below and indicate your agreement and acceptance.

    The AMA, ADA, and AHA only permit the use of CPT, CDT, and NUBC/UB04 data in the Technical Specifications and Resource Manuals, and Value Set Directories, for the reporting of Medicaid and CHIP Core Set measures to CMS.

    LICENSE FOR USE OF PHYSICIANS’ CURRENT PROCEDURAL TERMINOLOGY, FOURTH EDITION (“CPT”)

    End User Point and Click Agreement: CPT codes, descriptions and other data only are copyright 2023 American Medical Association. All Rights Reserved (or such other date of publication of CPT). CPT is a trademark of the American Medical Association (AMA).

    You, your employees and agents are authorized to use CPT only as agreed upon with the AMA internally within your organization within the United States for the sole use by yourself, employees, and agents. Use is limited to use in Medicare, Medicaid or other programs administered by the Centers for Medicare and Medicaid Services (CMS). You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement.

    Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CPT for resale and/or license, transferring copies of CPT to any party not bound by this agreement, creating any modified or derivative work of CPT, or making any commercial use of CPT. License to use CPT for any use not authorized herein must be obtained through the AMA, CPT Intellectual Property Services, AMA Plaza, 330 Wabash Ave., Suite 39300, Chicago, IL 60611-5885. Applications are available at the AMA Web site, https://www.ama-assn.org/go/cpt.

    Applicable FARS\DFARS Restrictions Apply to Government Use. Please click here to see all U.S. Government Rights Provisions

    AMA Disclaimer of Warranties and Liabilities.
    This product includes CPT which is commercial technical data and/or computer data bases and/or commercial computer software and/or commercial computer software documentation, as applicable which were developed exclusively at private expense by the American Medical Association, AMA Plaza, 330 N. Wabash Ave., Suite 39300, Chicago, IL 60611-5885. U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation are subject to the limited rights restrictions of FAR 52.227-14 (December 2007) and/or subject to the restricted rights provisions of FAR 52.227-14 (December 2007) and FAR 52.227-19 (December 2007), as applicable, and any applicable agency FAR Supplements, for non-Department of Defense Federal procurements.

    CMS Disclaimer
    The scope of this license is determined by the AMA, the copyright holder. Any questions pertaining to the license or use of the CPT should be addressed to the AMA. End Users do not act for or on behalf of the CMS. CMS DISCLAIMS RESPONSIBILITY FOR ANY LIABILITY ATTRIBUTABLE TO END USER USE OF THE CPT. CMS WILL NOT BE LIABLE FOR ANY CLAIMS ATTRIBUTABLE TO ANY ERRORS, OMISSIONS, OR OTHER INACCURACIES IN THE INFORMATION OR MATERIAL CONTAINED ON THIS PAGE. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material.

    LICENSE FOR USE OF CURRENT DENTAL TERMINOLOGY (CDTTM)

    These materials contain Current Dental Terminology (CDTTM), copyright © 2023 American Dental Association (ADA). All rights reserved. CDT is a trademark of the ADA.

    The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. By clicking below on the button labeled “I accept”, you hereby acknowledge that you have read, understood and agreed to all terms and conditions set forth in this agreement.

    If you do not agree with all terms and conditions set forth herein, click below on the button labeled “I do not accept” and exit from this computer screen.

    If you are acting on behalf of an organization, you represent that you are authorized to act on behalf of such organization and that your acceptance of the terms of this agreement creates a legally enforceable obligation of the organization. As used herein, “you” and “your” refer to you and any organization on behalf of which you are acting.

      1. Subject to the terms and conditions contained in this Agreement, you, your employees and agents are authorized to use CDT only as contained in the following authorized materials and solely for internal use by yourself, employees and agents within your organization within the United States and its territories. Use of CDT is limited to use in programs administered by Centers for Medicare & Medicaid Services (CMS). You agree to take all necessary steps to ensure that your employees and agents abide by the terms of this agreement. You acknowledge that the ADA holds all copyright, trademark and other rights in CDT. You shall not remove, alter, or obscure any ADA copyright notices or other proprietary rights notices included in the materials.
      2. Any use not authorized herein is prohibited, including by way of illustration and not by way of limitation, making copies of CDT for resale and/or license, transferring copies of CDT to any party not bound by this agreement, creating any modified or derivative work of CDT, or making any commercial use of CDT. License to use CDT for any use not authorized herein must be obtained through the American Dental Association, 211 East Chicago Avenue, Chicago, IL 60611. Applications are available at the American Dental Association web site, https://www.ada.org.
      3. Applicable Federal Acquisition Regulation Clauses (FARS)/Department of Defense Federal Acquisition Regulation supplement (DFARS) Restrictions Apply to Government Use. Please click here to see all U.S. Government Rights Provisions.
      4. Organizations who contract with CMS acknowledge that they may have a commercial CDT license with the ADA, and that use of CDT codes as permitted herein for the administration of CMS programs does not extend to any other programs or services the organization may administer and royalties dues for the use of the CDT codes are governed by their commercial license.
      5. ADA DISCLAIMER OF WARRANTIES AND LIABILITIES. CDT is provided “as is” without warranty of any kind, either expressed or implied, including but not limited to, the implied warranties of merchantability and fitness for a particular purpose. No fee schedules, basic unit, relative values or related listings are included in CDT. The ADA does not directly or indirectly practice medicine or dispense dental services. The sole responsibility for software, including any CDT and other content contained therein, is with (insert name of applicable entity) or the CMS; and no endorsement by the ADA is intended or implied. The ADA expressly disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this file/product. This Agreement will terminate upon notice to you if you violate the terms of this Agreement. The ADA is a third party beneficiary to this Agreement.
      6. CMS DISCLAIMER. The scope of this license is determined by the ADA, the copyright holder. Any questions pertaining to the license or use of the CDT should be addressed to the ADA. End Users do not act for or on behalf of the CMS. CMS disclaims responsibility for any liability attributable to end user use of the CDT. CMS will not be liable for any claims attributable to any errors, omissions, or other inaccuracies in the information or material covered by this license. In no event shall CMS be liable for direct, indirect, special, incidental, or consequential damages arising out of the use of such information or material.

    The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. If the foregoing terms and conditions are acceptable to you, please indicate your agreement by clicking below on the button labeled “I Accept”. If you do not agree to the terms and conditions, you may not access or use software. Instead you must click below on the button labeled “I DO NOT ACCEPT” and exit from this computer screen.

    “The American Hospital Association (“the AHA”) has not reviewed, and is not responsible for, the completeness or accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the preparation of this material, or the analysis of information provided in the material. The views and/or positions presented in the material do not necessarily represent the views of the AHA. CMS and its products and services are not endorsed by the AHA or any of its affiliates.”

     

    LICENSE FOR NATIONAL UNIFORM BILLING COMMITTEE (NUBC)

    American Hospital Association Copyright Notice

    Copyright © 2023, the American Hospital Association, Chicago, Illinois. Reproduced with permission. No portion of the AHA copyrighted materials contained within this publication may be copied without the express written consent of the AHA. AHA copyrighted materials including the UB-04 codes and descriptions may not be removed, copied, or utilized within any software, product, service, solution or derivative work without the written consent of the AHA. If an entity wishes to utilize any AHA materials, please contact the AHA at 312- 893-6816.

    Making copies or utilizing the content of the UB-04 Manual, including the codes and/or descriptions, for internal purposes, resale and/or to be used in any product or publication; creating any modified or derivative work of the UB-04 Manual and/or codes and descriptions; and/or making any commercial use of UB-04 Manual or any portion thereof, including the codes and/or descriptions, is only authorized with an express license from the American Hospital Association.

    To license the electronic data file of UB-04 Data Specifications, contact Tim Carlson at (312) 893-6816 or Laryssa Marshall at (312) 893-6814. You may also contact us at ub04@aha.org.

    American Hospital Association Disclaimer

    Any reproduced portion of the American Hospital Association’s (AHA) Data Specifications Manual or Specifications Data (NUBC UB-04 codes) must include the following AHA disclaimer language in a prominent manner acceptable to the AHA: “The American Hospital Association (“the AHA”) has not reviewed, and is not responsible for, the completeness or accuracy of any information contained in this material, nor was the AHA or any of its affiliates, involved in the preparation of this material, or the analysis of information provided in the material. The views and/or positions presented in the material do not necessarily represent the views of the AHA. CMS and its products and services are not endorsed by the AHA or any of its affiliates.

    NUBC UB-04 TERMS and CONDITIONS

    1. Reproduction of Text
      The reproduction of the UB-04 Manual will follow the text exactly.
    2. Headings, Illustrations, or Captions
      No changes will be made in headings, illustrations, or captions.
    3. No Deletions
      No deletions will be made about without specific permission.
    4. Reproduction Prohibitions and Limitation
      The CMS user will not reproduce the entire NUBC UB-04 Specifications Manual, an entire chapter of the Specifications Manual, or any excerpt in excess of 10% of an entire chapter.
    5. Use Authorized
      CMS may use the Licensed Data and Manual for training and educational purposes, claims review and validation, and hospital billing analysis along with other CMS Agency purposes only which shall be limited to responding to inquiries related to proper coding.
    6. NUBC UB-04 Specifications Data - Any Use Not Authorized is Prohibited
      Any use not authorized is prohibited. Prohibitions include:
      1. Making copies of the Specifications Data for resale or licensing;
      2. Transferring copies of the Specifications Data to any party not bound by the CMSAHA data license agreement;
      3. Creating modified or derivative works of the Specifications Data; and
      4. Making any commercial use of the Specifications Data.
    7. Use of the Specifications Data within the U.S.
      The CMS user may use NUBC UB-04 data in programs administered by the Centers for Medicare & Medicaid Services within the U.S. and its territories.
    8. Obscuring AHA Copyright
      The CMS user shall not remove or obscure any AHA copyright notice or other proprietary rights notices included in AHA materials.
    9. Rights Restrictions of DFAR
      The CMS user acknowledges the Federal Acquisition Regulations (DFAR) restricts the U.S. Government rights to use, modify, reproduce, release, perform, display, or disclose these technical data and/or computer data bases and/or computer software and/or computer software documentation.
    10. Disclaimer of Responsibility
      The CMS user acknowledges the sole responsibility for NUBC UB-04 Specifications Data is with CMS or its Medicare/Medicaid authorized agents. No endorsement by the AHA is intended or implied. The AHA expressly disclaims responsibility for any consequences or liability attributable to or related to any use, non-use, or interpretation of information contained or not contained in this product.
    11. Questions about the Data License
      Any questions pertaining to the license or use of the NUBC UB-04 Data will be addressed to the AHA. The CMS user will submit AHA use-related inquiries to the CMS_CPT_CDT_NUBC_Mailbox for submission to the AHA-designated CMS contact.

     

    The license granted herein is expressly conditioned upon your acceptance of all terms and conditions contained in this agreement. If the foregoing terms and conditions are acceptable to you, please indicate your agreement by clicking below on the button labeled “I AGREE”. If you do not agree to the terms and conditions, you may not access or use the software. Instead, you must click below on the button labeled “DO NOT ACCEPT” and exit from this computer screen.

    Contact Palmetto GBA JJ Part A Medicare

    Provider Contact Center: 877-567-7271

    Email JJ Part A

    Contact a specific JJ Part A department


    Other Palmetto GBA Sites

    Palmetto GBA Home

    CSSC Operations

    DEX

    DMEPOS Competitive Bidding Program

    Jurisdiction J Part A MAC

    Jurisdiction J Part B MAC

    Jurisdiction M Home Health and Hospice MAC

    Jurisdiction M Part A MAC

    Jurisdiction M Part B MAC

    MolDX

    National Provider Enrollment (NPE) West

    Pricing, Data Analysis and Coding (PDAC)

    Prior Authorization

    RRB Specialty MAC Beneficiaries

    RRB Specialty MAC Providers

    Third Party Administrator


    © 2024 Palmetto GBA, LLC.Palmetto GBA

    Palmetto GBA

    3.25.24