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.
Join eNews       En Español
Text Size:
YouTube LinkedIn Email Print
Send a link to this page
[Multiple email adresses must be separated by a semicolon.]
Last Modified: 11/22/2022 Location: FL, PR, USVI Business: Part A, Part B

Targeted probe and educate (TPE) topics and schedule of review

Targeted probe and educate (TPE) is a process that combines a review of a sample of claims with education to help reduce claims submission errors. Learn more about TPE here.
The list below includes current TPE review topics, documentation checklists, and links to additional resources to assist you during the review process:

Part A TPE topics for review

Topic and education
Related CPT/HCPCS
Review status
Documentation checklist
Results
L33413 external link
CPT:
97110
97112
97140
Active
CPT 97112:
CPT 97140:
CPT 97110:
Inpatient Rehabilitation Facility (IRF) Services (Case Mix Group (CMG)
N/A
Active
L37564 external link
CPT 90999
Active
Coming soon

Part B TPE Topics for review

Topic and education
Related CPT/HCPCS
Review status
Documentation checklist
Results
CPT:
97110
97112
97116
97124
97140
97530
Active
CPT 97112:
CPT 97140:
HCPCS J1569 (Intravenous Immune)
HCPCS J0585 (Botulinum Toxin)
HCPCS J0897 (Bisphosphonates) with associated administration codes)
HCPCS J7318, J7320-J7329, J7331-J7332 (Hyaluronan Acid Therapies with associated administration and placement codes)
Active
HCPCS J1569:
HCPCS J0585:
HCPCS J0897:
Surgical Services:
Vascular (CPT 37227 and 37229)
Cataract Extraction (CPT 66982-66982)
Nail Cutting/Pairing and Debridement (CPT 11719-11721, 11055-11057, HCPCS G0127)
MMS (CPT 17311-17315)
Active
CPT 37229:
Drug Testing Codes Definitive Drug Testing (HCPCS G0480-G0483, G0659)
Genetic Analysis, Amplified Probe Technique (CPT 87150)
Active
HCPCS G0480-G0483:
CPT 87150:
Basic Life Support (BLS), Non-Emergency Transport (HCPCS A0428 and associated
Ground mileage HCPCS A0425)
Active
HCPCS A0425 and A0428
CPT:
90832
90834
90837
Active
Coming soon
Wound Care
L37166
CPT 11042
Active
Coming soon
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.