Overview

The American Medical Association owns the rights to all CPT® (Current Procedural Terminology) codes and enforces the collection of licensing fees for each healthcare provider who renders medical services for which a fee is charged.

Similar to all practice management and EHR companies, we are required to collect licensing fees for CPT® codes annually on behalf of the AMA. Fees should be collected via your primary payment method. 

For more information on the AMA CPT® Code licensing fees, please visit this link. 

FAQs

• Do I need to pay for providers who are not using AMA CPT® codes? 
  No, providers who have not used or will not use CPT® codes during the calendar year will not be charged.  
  
  
• Will I be charged sales tax for the AMA CPT® codes licensing fee? 
  Applicable taxes will not be charged on this billing cycle but may be charged in the future if the tax rules change.
  
  
• Will the fee be raised next year?
  We will communicate ahead of time about any future CPT® Code fee increases made by the AMA. From 2022 to 2023, the AMA raised its fee. Based on the AMA’s communication, we expect a similar increase related to these charges every year going forward.
  
  
• When will billing take place for AMA CPT® code usage? 
  Providers utilizing the AMA CPT® codes will be billed earlier in the year - February or March.  You may receive additional AMA CPT® code charges for any incremental providers who utilize CPT® codes and were not previously billed earlier in the year. 
  
  
• Can I pay the AMA directly?  
  No, the AMA will charge all practice management and EHR companies for the use of their CPT® codes. For this reason, we will be collecting the fees on their behalf. 
  
  
• How is Procentive identifying providers who have used CPT® Codes? 
  Each user that has had an insurance claim submitted using a CPT® Code with their name listed as rendering provider will be considered a provider eligible for the AMA Licensing Fee.
  
  
• How will the fee appear on my Procentive invoice? 
  The charge description will say "AMA CPT License Fee".
  
  
• I use other billing tools with these codes too.  Do I only need to pay this fee once per year, per provider or will I need to pay for each billing tool I use?  
  The AMA is charging all practice management systems and EHRs a licensing fee per provider for use of the AMA CPT® Codes. We are unaware of how other billing software and solutions plan to accommodate these fees.
  For Therapy Brands practice management and EHR solutions, your account will be charged a nominal fee per provider that uses CPT® Codes.  
  
  
• How much does Procentive profit from these fees? 
  Procentive does not profit from the AMA Licensing Fees. The cost per qualified provider is for the usage of the AMA CPT® codes.