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Last Modified: 8/10/2022 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
Review status
Documentation checklist
Results
Rehabilitation Services (Outpatient) (CPT 97110, 97112, 97140)
Active
Coming soon
Inpatient Rehabilitation Facility (IRF) Services (Case Mix Group (CMG)
Active
Coming soon
End Stage Renal Disease (ESRD) Services (CPT 90999)
Active
Coming soon

Part B TPE Topics for review

Topic and education
Review status
Documentation checklist
Results
Rehabilitation Services Outpatient (CPT 97110, 97112, 97116, 97124, 97140, 97530)
Active
Coming soon
Drugs & Biologicals (HCPCS J1569 (Intravenous Immune), HCPCS J0585 (Botulinum Toxin) HCPCS J0897 (Bisphosphonates) with associated administration codes)
Active
Coming soon
Surgical Services:
Vascular: (CPT 37227 and 37229)
Cataract Extraction (CPT 66982-66982)
Nail Cutting/Pairing and Debridement (CPT 11719-11721, 11055-11057, HCPCS G0127)
Active
Coming soon
Drug Testing Codes Definitive Drug Testing (HCPCS G0480-G0483, G0659)
Genetic Analysis, Amplified Probe Technique (CPT 87150)
Active
Coming soon
Basic Life Support (BLS), Non-Emergency Transport (HCPCS A0428 and associated
Ground mileage HCPCS A0425)
Active
Coming soon
Psychotherapy services (CPT 90832-90834, 90837)
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.