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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 diagnosis.

Representative samples of marketing or promotional materials referring to CPT and all marketing or promotional materials referring to the name, initials or logo of the AMA must be reviewed and approved. To initiate this review, please ATTACH RELEVANT MATERIALS BELOW. If not currently available, please forward as they become available.

An Upfront Annual Royalty Fee of $1,050 is due each calendar year during the Term of this Agreement. The Upfront Annual Royalty Fee is due prior to the execution of this Agreement by the AMA, and an additional Upfront Annual Royalty Fee is due no later than July 31 of each year thereafter during the Term of the Agreement. In addition, AMA licenses CPT based on usage. Usage reports must be submitted to the AMA during the Term of the agreement to determine additional royalties. A user is defined as an individual who: (a) accesses, uses, or manipulates CPT Editorial Content contained in the Electronic Licensed Product; or (b) accesses, uses, or manipulates the Electronic Licensed Product to produce or enable an output (data, reports, or the like) that could not have been created without the CPT embedded in the Electronic Licensed Product even though CPT Editorial Content may not be visible or directly accessible; or (c) makes use of an output of the Electronic Licensed Product that relies on or could not have been created without the CPT Editorial Content embedded in the Electronic Licensed Product even though CPT Editorial Content may not be visible or directly accessible.

The American Medical Association (AMA) agrees that the information provided by applicants will be kept confidential. I agree to keep the information provided by the AMA confidential. I confirm that all responses and related documentation submitted as part of the application process are accurate and complete to the best of my knowledge. I agree that I will notify the AMA if the information changes. Check to Agree

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