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LICENSE FOR USE OF "PHYSICIAN'S CURRENT PROCEDURAL TERMINOLOGY" (CPT), FOURTH EDITION End User/Point and Click Agreement: CPT codes, descriptions and other data only are copyright 2022 American Medical Association (AMA).

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Medical affairs news

Interactive LCD index

The LCD interactive index offers a fast, direct way for providers to view LCDs.
Modified: 1/26/2023
Several articles have now been listed that were impacted by the 2023 annual HCPCS/CPT code update and other revisions. Also, an LCD and its related billing and coding article have been retired.
Modified: 1/24/2023
Please review this article from the durable medical equipment (DME) MAC about ordering knee orthoses for your Medicare patients.
Modified: 1/20/2023
The durable medical equipment (DME) MACs are providing helpful guidance to assist the supplier in providing a spinal orthosis to your patient. Medicare must be able to verify that there is supporting medical record documentation for the provision of a spinal orthosis for your patient.
Modified: 1/20/2023
Please review this article from the durable medical equipment (DME) MAC about ordering ankle foot and knee ankle foot orthoses (AFO/KAFO) for your Medicare patients.
Modified: 1/5/2023
New article
Modified: 1/5/2023
Modified: 1/4/2023
First Coast implemented a process to reduce provider burden for billing certain contractor-priced codes such as skin substitutes, radiopharmaceuticals, and more. Effective November 12 claims not including this information will reject. Learn how to avoid rejects.
Modified: 1/3/2023
These questions and answers resulted from the November 30 and December 1 webinars on epidural steroid injections for pain management.
Modified: 1/1/2023
Modified: 12/30/2022
Please review this article from the durable medical equipment (DME) MACs about ordering diabetic shoes for your patients.
Modified: 12/30/2022
Changed requestor to Gloria Franceschini
Please review these quick tips from the durable medical equipment (DME) MAC about ordering oxygen and oxygen equipment for your Medicare patients.
Modified: 12/29/2022
Effective November 8, 2022, the FDA has granted EUA for the emergency use of Swedish Orphan Biovitrum AB’s (SOBI) Kineret (anakinra) for the treatment of COVID-19 in certain hospitalized patients.
Modified: 12/29/2022
View this important information you must know if you bill for genetic testing for cardiovascular disease, effective January 30.
Modified: 12/23/2022
Please review this article from the durable medical equipment (DME) MACs about ordering glucose monitors and supplies for your Medicare patients.
Modified: 12/23/2022
Are you sending hardcopy mail to submit your requests to First Coast? Did you know there are faster and easier ways to send your requests to us? Avoid the wait. Learn about the electronic options available for you to request a new LCD or an LCD reconsideration.
Modified: 12/16/2022
Please review this article from the durable medical equipment (DME) MACs about ordering external breast prostheses and supplies for your Medicare patients.
Modified: 12/13/2022
View this important information you must know if you bill for pharmacogenomics testing.
Important information you must know if you bill for pharmacogenomics testing.
Modified: 12/12/2022
View this important information you must know if you bill for molecular pathology and genetic testing.
Modified: 12/12/2022
Reminder that general anesthesia is considered not medically reasonable and necessary when performing epidural steroid injections and facet joint injections for pain management.
Modified: 12/1/2022
Please review this article from the DME MACs about ordering PAP devices and related accessories for your Medicare patients.
Modified: 11/25/2022
CMS created the new HCPCS code J0248 for Veklury (remdesivir) antiviral medication when administered in an outpatient setting. Review this article for information on billing this drug.
Modified: 11/24/2022
Please review this article from the durable medical equipment (DME) MAC about ordering durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) for your Medicare patients.
Modified: 11/23/2022
Review this article for information on billing psychotherapy services when performed with evaluation and management and prolonged services.
Modified: 11/16/2022
Join First Coast's Contractor Advisory Committee (CAC) to provide your input during the development process of LCDs.
Modified: 11/16/2022
Please review this article from the durable medical equipment (DME) MACs about ordering oxygen for your Medicare patients.
Modified: 11/16/2022
Please review this article from the durable medical equipment (DME) MACs about ordering oxygen during the public health emergency (PHE).
Modified: 11/16/2022
Please review this article from the durable medical equipment (DME) MACs about ordering surgical dressings for your Medicare patients.
Modified: 10/17/2022
First Coast identified several errors when providers bill for infectious disease panels. Read this article to learn more about billing these services correctly.
Modified: 9/20/2022
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: 5/2/2022
This calculator will assist you in determining when additional documentation requested by First Coast Service Options Inc. (First Coast) must be received.
Modified: 3/29/2022
Review this article containing coding guidelines for radiopharmaceutical procedure codes, including examples as well as tips for how to report invoice cost.
Modified: 10/28/2020
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: 9/25/2020
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: 9/13/2020
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: 8/14/2020
Link to the CMS Medicare Coverage Database. The following results include only documents currently in effect.
Modified: 7/23/2020
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: 7/15/2020
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: 5/22/2020
Link to the CMS Medicare Coverage Database. The following results include only documents currently in effect.
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.
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.