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Claim processing actions to implement certain provisions of the Bipartisan Budget Act of 2018
Modified: 4/9/2018
Change request 10531 provides Medicare administrative contractor instructions for reprocessing several provisions of the Bipartisan Budget Act of 2018, which includes ambulance add-on payment provisions and the work geographic practice cost index floor. Note: This article was revised April 5, 2018, to reflect a revised CR, which was revised April 4 to include page two of Attachment B - Rural Add on Rate Tables. In the article, the CR release date, transmittal number, and the web address for the CR are revised. All other information remains the same. [MM10531]
April 2018 update to the DMEPOS fee schedule
Modified: 3/23/2018
The durable medical equipment, prosthetic devices, orthotics, prosthetics and supplies (DMEPOS) fee schedule is updated quarterly to implement fee schedule amounts and payment policy changes for new and existing codes. [MM10503]
Additional changes to the 2016 Medicare physician fee schedule database (MPFSDB)
Modified: 3/14/2018
The 2016 allowances for procedure codes 41530, 76948, and 76948-26 have been revised.
April 2018 update of drug and biological code changes
Modified: 3/12/2018
Change request (CR) 10454 adds three new codes and revises another code. In addition, changes have been made to modifiers that describe biosimilars. This article was revised March 8 to reflect an updated CR. That CR provides additional instructions for the MACs, regarding use of the long descriptors. The CR date, transmittal number and link to the transmittal also changed. All other information is unchanged. [MM10454]
Fee schedule for administration of influenza and pneumococcal virus vaccines
Modified: 3/8/2018
The allowances for procedure codes G0008 and G0009 are based on the allowance for code 90471. [CR 7124]
2018 anesthesia conversion factors for Puerto Rico
Modified: 3/6/2018
This article contains the conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates January 1 through December 31, 2018. Revised 3/6/2018.
2018 anesthesia conversion factors for the U.S. Virgin Islands
Modified: 3/6/2018
This article contains the conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates January 1 through December 31, 2018. Revised 3/6/2018.
2018 anesthesia conversion factors for Florida
Modified: 3/6/2018
This article contains the conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates January 1 through December 31, 2018. Revised 3/6/2018.
Seasonal influenza vaccines pricingexternal link
Modified: 3/1/2018
The Centers for Medicare & Medicaid Services (CMS) has posted a list of procedure codes and effective dates for which payment allowances are available for influenza virus vaccines for the 2017-2018 flu season.
2018 Medicare physician fee schedule (MPFS) disclosures for the U.S. Virgin Islands
Modified: 11/13/2017
View MPFS disclosures for dates of service January 1-December 31, 2018 [CR 10351]
2018 Medicare physician fee schedule (MPFS) disclosures
Modified: 11/13/2017
View MPFS disclosures for dates of service January 1-December 31, 2018. [CR 10351]
2018 Medicare physician fee schedule (MPFS) disclosures for Puerto Rico
Modified: 11/13/2017
View MPFS disclosures for dates of service January 1-December 31, 2018. [CR 10351]
Carrier-priced code additions effective October 2017
Modified: 9/15/2017
Change request (CR) 10222 adds carrier-priced code 93668 to the Medicare physician fee schedule (MPFS) effective for services provided on and after January 1, 2017, and adds several new carrier-priced codes to the clinical lab fee schedule effective for services provided on and after August 1, 2017. [CR 10222]
Carrier-priced code addition effective July 2017
Modified: 7/18/2017
Change request (CR) 10104 adds procedure code 0474T to the Medicare physician fee schedule (MPFS) effective for services provided on and after July 1, 2017. Revised July 11.
2016 Medicare physician fee schedule (MPFS) disclosures for Puerto Rico
Modified: 12/4/2016
View MPFS disclosures for dates of service January 1-December 31, 2016. [CR 9495]
2017 Medicare physician fee schedule (MPFS) disclosures
Modified: 11/11/2016
View MPFS disclosures for dates of service January 1-December 31, 2017. [CR 9794]
2017 Medicare physician fee schedule (MPFS) disclosures for Puerto Rico
Modified: 11/11/2016
View MPFS disclosures for dates of service January 1-December 31, 2017. [CR 9794]
2017 Medicare physician fee schedule (MPFS) disclosures for the U.S. Virgin Islands
Modified: 11/11/2016
View MPFS disclosures for dates of service January 1-December 31, 2017 [CR 9794]
2017 anesthesia conversion factors for Puerto Rico
Modified: 11/11/2016
This article contains the conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates January 1 through December 31, 2017. [CR 9794]
2017 anesthesia conversion factors for the U.S. Virgin Islands
Modified: 11/11/2016
This article contains the conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates January 1 through December 31, 2017. [CR 9794]
2017 anesthesia conversion factors for Florida
Modified: 11/11/2016
This article contains the conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates January 1 through December 31, 2017.) [CR 9794]
2016 Medicare physician fee schedule (MPFS) disclosures
Modified: 1/8/2016
View MPFS disclosures for dates of service January 1-December 31, 2016. [CR 9495]
2016 anesthesia conversion factors for the U.S. Virgin Islands
Modified: 1/8/2016
This article contains the conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates January 1 through December 31, 2016. [CR 9495]
2016 anesthesia conversion factors for Puerto Rico
Modified: 1/8/2016
This article contains the conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates January 1 through December 31, 2016. [CR 9495]
2016 anesthesia conversion factors for Florida
Modified: 1/8/2016
This article contains the conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates January 1 through December 31, 2016.) [CR 9495]
2016 Medicare physician fee schedule (MPFS) disclosures for the U.S. Virgin Islands
Modified: 1/8/2016
View MPFS disclosures for dates of service January 1-December 31, 2016 [CR 9495]
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.