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Preventive Resources

Modified: 12/9/2024
Effective January 1, 2025, CMS added a new HCPCS code Q0521 for pharmacies billing for Pre-exposure Prophylaxis (PrEP) for HIV drugs. The new code replaces codes Q0516, Q0517, Q0518, Q0519, and Q0520.
Modified: 11/21/2024
Read this article for more information on recommended Medicare preventive services available for the screening and treatment of diabetes.
Modified: 11/21/2024
November is National Diabetes Month. Nearly 98 million U.S adults have prediabetes and many don’t know it. Let’s spotlight this critical public health issue and inspire your patients by discussing risk factors and recommend services to prevent, detect, and treat diabetes.
Modified: 10/23/2024
Health care practitioners prescribing pre-exposure prophylaxis (PrEP) should include at least one valid ICD-10-CM diagnosis code on prescriptions sent to pharmacies to help them prepare Medicare Part B claims, as multiple diagnosis codes may be appropriate. See this article for details.
Modified: 10/23/2024
Starting September 30, Medicare covers pre-exposure prophylaxis (PrEP) and other related services to prevent HIV in individuals at increased risk of getting HIV, without cost-sharing for people with Medicare Part B. Find out if your patient is eligible for these services.
Modified: 10/8/2024
Read this article for more information on revisions to the Medicare Part B coverage of the pneumococcal vaccine.
Modified: 9/27/2024
Medicare pays for a full range of preventive services and screenings. Review details about these potentially life-saving preventive services and screenings.
Modified: 9/12/2024
CMS is encouraging pharmacies and other affected parties to prepare now for the expected transition of coverage from Medicare Part D to Medicare Part B for Preexposure Prophylaxis (PrEP) using antiretroviral drugs to prevent HIV. We expect to release the final National Coverage Determination (NCD) in late September 2024. Coverage under Part B will begin once we release the final NCD.
Modified: 7/17/2024
Medicare Part B covers annual wellness visits (AWVs) and other related services for qualifying beneficiaries. Learn more about these covered preventive services.
Modified: 6/4/2024
First Coast has created standard roster billing forms for COVID-19, monoclonal antibodies, flu and pneumococcal services. These forms are effective for all roster billing claims. Learn more about our Part B forms.
Modified: 6/4/2024
Roster billing enables Medicare beneficiaries to participate in mass immunization programs offered by various entities that give vaccines to a group of beneficiaries. Learn more about this simplified process.
Modified: 5/13/2024
Advanced care planning (ACP) is a separate Part B service enabling Medicare patients to make important decisions over the type of care they receive and when they receive it. Learn more.
Modified: 5/13/2024
Medicare Part B covers various colorectal cancer (CRC) screening tests furnished to individuals for the purpose of early detection of colon cancer. This article discusses these lifesaving preventive services. [CR 13017]
Modified: 5/7/2024
Several services submitted to First Coast for screening for cervical cancer with Human Papillomavirus (HPV) testing are being reported incorrectly. A billing and coding article (A58232) has been developed to provide guidance for these services. This billing and coding article is consistent with National Coverage Determination (NCD) 210.2.1.
Modified: 4/26/2024
First Coast has created a new standard roster billing form for COVID-19 vaccinations and monoclonal antibody infusion. This article provides information for billing the vaccine, infusion, and administration codes.
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.