skip to content
Thank you for visiting First Coast Service Options' Medicare provider website. This website is intended exclusively for Medicare providers and health care industry professionals to find the latest Medicare news and information affecting the provider community.
To enable us to present you with customized content that focuses on your area of interest, please select your preferences below:
Select which best describes you:
Select your location:
Select your line of business:
This website provides information and news about the Medicare program for health care professionals only. All communication and issues regarding your Medicare benefits are handled directly by Medicare and not through this website. Information for Medicare beneficiaries is only available on the medicare.gov website.
En Español
Text Size:
Send a link to this page
[Multiple email adresses must be separated by a semicolon.]

Medical policy news

LCD search tools

The LCD search tools offer a fast, direct way for providers to search for LCDs.
Modified: 10/5/2017
A new LCD lookup tool gives providers a complete capture of information, and allows them to search through all LCDs by HCPCS codes.
Modified: 11/16/2017
Based on data analysis review of the Corticotropin local coverage determination (LCD), it was determined that the LCD is no longer required and, therefore, is being retired.
Modified: 11/13/2017
LCD was revised to remove Current Procedural Terminology CPT) code 84145 (Procalcitonin) under the "CPT/HCPCS Codes" section under the subtitle “Procedures for Part A and Part B”.
Modified: 11/9/2017
Based on a reconsideration request, the LCD was revised to remove language from the LCD that was added to National Coverage Determination for PET scan.
Modified: 11/9/2017
Based on an annual review, it was determined that the LCD is no longer required, and is being retired.
Modified: 11/9/2017
Multiple Part AB LCDs being retired, effective on 11/09/2017.
Modified: 11/9/2017
Multiple Part B LCDs being retired, effective on 11/09/2017.
Modified: 11/8/2017
Based on change requests (CRs) 9658, 9668, 10236 and 10259, the “CMS National Coverage Policy” section of the upper eyelid and brow surgical procedures local coverage determination (LCD) was updated.
Modified: 10/31/2017
Based on a reconsideration request, the LCD was revised to add new diagnoses codes to the section ICD-10 Codes that Support Medical Necessity".
Modified: 10/19/2017
HCPCS codes section update of the LCD L33704 Infliximab (Remicade™).
Modified: 10/19/2017
New LCD for Wound Care developed on data analysis, which identified an increase utilization of wound care procedures.
Modified: 10/13/2017
The Centers for Medicare & Medicaid Services (CMS) recently released instructions for Medicare administrative contractors regarding changes in the laboratory national coverage determinations (NCD). [MM10309]
Modified: 10/6/2017
Link to the CMS Medicare Coverage Database. The following results include only documents currently in effect.
Modified: 10/1/2017
Medicare pays for clinical laboratory services that are medically reasonable and necessary, ordered by a physician, and used by the physician in the treatment of the patient. When a physician documents an order for a complete blood count (CBC) in a patient’s medical record, Medicare will not pay for a CBC with automated differential.
Modified: 9/28/2017
List of Part A/B, B, and A LCDs affected by the 2018 ICD-10-CM Coding Changes.
Modified: 8/18/2017
Payment will be considered for unused and discarded portions of a single-use drug/biological product. The JW modifier is not permitted when the actual dose of the drug or biological administered is less than the billing unit.
Modified: 8/17/2017
Link to the CMS Medicare Coverage Database. The following results include only documents currently in effect.
Modified: 8/17/2017
Link to the CMS Medicare Coverage Database. The following results include only documents currently in effect.
Modified: 8/17/2017
Link to the CMS Medicare Coverage Database. The following results include only documents currently in effect.
Modified: 8/5/2017
This calculator will assist you in determining when additional documentation requested by First Coast Service Options Inc. (First Coast) must be received.
Modified: 7/21/2017
The Centers for Medicare & Medicaid Services (CMS) requires that any Medicare service provided or ordered must be authenticated by the author -- the one who provided or ordered that service. This article outlines acceptable forms of authentication.
Modified: 7/21/2017
When a medical reviewer contacts the provider requesting to submit an attestation statement or signature log to authenticate a medical record, the provider must submit the attestation statement or signature log within the following 20 calendar days. [CR 6698]
Modified: 6/4/2017
Link to the CMS Medicare Coverage Database. The following results include only documents currently in effect.
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.