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Processing Issues

Modified: 6/15/2021
This table displays Part A and Part B processing issues that are being worked currently or have been resolved recently.
Modified: 6/15/2021
Claims with dates of service on and after April 1 incorrectly received the sequestration reduction. The issue has been resolved as of June 15.
Modified: 6/2/2021
First Coast will allow claims submitted with specific ‘Z’ diagnosis codes under the COVID-19 Public Health Emergency.
Modified: 5/13/2021
First Coast will adjust claims for codes 87635 and U0002 for dates of service on or after March 2, 2020, that denied when submitted with QW modifier.
Modified: 5/3/2021
Issues are occurring with various HCPCS outpatient therapy codes suspending incorrectly.
Modified: 5/3/2021
First Coast has updated the status indicator and payment rates for HCPCS code Q5122.
Modified: 5/3/2021
During the public health emergency, CMS amended regulations to remove the requirement that certain diagnostic tests are covered only when ordered by the treating physician. Additional codes have been added that do not require an ordering provider on the claim.
Modified: 1/9/2019
There are no items in this section at this time.
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.