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. For the most comprehensive experience, we encourage you to visit Medicare.gov or call 1-800-MEDICARE. In the event your provider fails to submit your Medicare claim, please view these resources for claim assistance.
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: 6/19/2020
Change request 10901 updates the "Medicare Program Integrity Manual" with detailed changes to the local coverage determination (LCD) process, which will help to increase transparency, clarity, consistency, reduce provider burden, and enhance public relations while retaining the ability to be responsive to local clinical and coverage policy concerns. [MM10901]
Modified: 5/2/2020
So coding changes can be made more efficiently without requiring reconsideration of an LCD, CPT and ICD-10 codes are being relocated from LCDs to associated billing and coding articles or policy articles. [CR10901]
Modified: 7/9/2020
Based on Centers for Medicare & Medicaid Services (CMS) directive, the Part A and Part B LCD and the related billing and coding article are being retired.
Modified: 7/9/2020
Part A and Part B LCD and the related billing and coding article are being retired.
Modified: 7/9/2020
Part A and Part B LCD and the related billing and coding article are being retired.
Modified: 7/2/2020
Based on a Centers for Medicare & Medicaid Services (CMS) directive, the local coverage determination (LCD) and related billing and coding article for allergy testing was revised.
Modified: 7/2/2020
Based on a Centers for Medicare & Medicaid Services (CMS) directive, the local coverage determination (LCD) and related billing and coding article for CYP2C19, CYP2D6, CYP2C9, and VKORC1 genetic testing was revised.
Modified: 7/2/2020
Part A and Part B LCD and the related billing and coding article are being retired.
Modified: 7/2/2020
Based on a Centers for Medicare & Medicaid Services (CMS) directive, the local coverage determination (LCD) and related billing and coding article for magnetic resonance angiography (MRA) were revised.
Modified: 7/2/2020
Based on a Centers for Medicare & Medicaid Services (CMS) directive, the local coverage determination (LCD) and related billing and coding article for polysomnography and sleep testing were revised.
Modified: 7/2/2020
Based on a Centers for Medicare & Medicaid Services (CMS) directive, the local coverage determination (LCD) for psychiatric diagnostic evaluation and psychotherapy was revised.
Modified: 7/2/2020
Based on a Centers for Medicare & Medicaid Services (CMS) directive, the local coverage determination (LCD) for psychological and neuropsychological tests was revised.
Modified: 7/2/2020
Based on a Centers for Medicare & Medicaid Services (CMS) directive, the local coverage determination (LCD) and the related billing and coding article for pulmonary diagnostic services were revised.
Modified: 7/2/2020
Based on a Centers for Medicare & Medicaid Services (CMS) directive, the billing and coding article for treatment of varicose veins of the lower extremity was revised.
Modified: 6/26/2020
Please review this article from the durable medical equipment Medicare administrative contractors (DME MACs) about ordering diabetic shoes for your patients.
Modified: 6/25/2020
First Coast has implemented a new process to reduce provider burden and process claims more efficiently. If you submit claims for skin substitutes or radiopharmaceutical codes, learn how this new process will benefit you.
Modified: 6/25/2020
Online registration is now available for the July 9 open meeting held via teleconference.
Modified: 6/24/2020
Please review this article from the durable medical equipment Medicare administrative contractors (DME MACs) about ordering spinal orthoses for your Medicare patients.
Modified: 6/4/2020
Revisions were made to the billing and coding article for epidural.
Modified: 6/4/2020
New Part A and Part B billing and coding article for screening for cervical cancer with Human Papillomavirus (HPV) Testing.
Modified: 6/3/2020
This article is for physicians, providers and suppliers billing for vagus nerve stimulation services provided to Medicare beneficiaries. [MM11461]
Modified: 5/28/2020
New Part A and Part B LCD for magnetic-resonance-guided focused ultrasound surgery (MRgFUS) for essential tremor (ET).
Modified: 5/28/2020
Revision to Part A and Part B LCD, and new billing and coding article for percutaneous vertebral augmentation (PVA) for vertebral compression fracture (VCF).
Modified: 5/27/2020
The meeting will be hosted by seven Medicare administrative contractors (MACs) and there will be a panel of experts discussing the facet joint and medial nerve branch procedures.
Modified: 5/22/2020
Link to the CMS Medicare Coverage Database. The following results include only documents currently in effect.
Modified: 5/22/2020
Please review this article from the durable medical equipment Medicare administrative contractors (DME MACs) about ordering surgical dressings for your Medicare patients.
Modified: 4/30/2020
Please review this article from the durable medical equipment Medicare administrative contractors (DME MACs) about ordering nebulizers and inhalation medication for your Medicare patients.
Modified: 4/29/2020
Please review these quick tips from the durable medical equipment Medicare administrative contractor (DME MAC) about ordering oxygen and oxygen equipment for your Medicare patients.
Modified: 4/27/2020
Please review this article from the DME MACs about ordering PAP devices and related accessories for your Medicare patients.
Modified: 4/25/2020
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: 4/21/2020
Link to the CMS Medicare Coverage Database. The following results include only documents currently in effect.
Modified: 4/9/2020
Link to the CMS Medicare Coverage Database. The following results include only documents currently in effect.
Modified: 4/9/2020
Link to the CMS Medicare Coverage Database. The following results include only documents currently in effect.
Modified: 4/7/2020
Please review this article from the durable medical equipment Medicare administrative contractors (DME MACs) about ordering lower limb orthoses (LLO) for your Medicare patients.
Modified: 4/4/2020
This calculator will assist you in determining when additional documentation requested by First Coast Service Options Inc. (First Coast) must be received.
Modified: 4/1/2020
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: 2/24/2020
Link to the CMS Medicare Coverage Database. The following results include only documents currently in effect.
Modified: 1/22/2020
A revised Provider Compliance Tips for Polysomnography (Sleep Studies) fact sheet is available. Learn about coverage requirements, documentation, and how to prevent claim denials.
Modified: 9/21/2019
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.
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.