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. Information for Medicare beneficiaries is only available on the website.
En Español
Text Size:
Send a link to this page
[Multiple email adresses must be separated by a semicolon.]
Last Modified: 2/21/2018 Location: FL, PR, USVI Business: Part A, Part B

HETS application: HCPCS code changes and new preventive codes

The Centers for Medicare & Medicaid Services (CMS) released several changes to the Health Insurance Portability and Accountability Act (HIPAA) Eligibility Transaction System (HETS) application, which went into effect November 4, 2017. The changes impact providers who use First Coast Service Options’ (First Coast’s) Secure Provider Online Tool (SPOT) to access eligibility data through HETS.

Preventive HCPCS Code Changes

HETS 270/271 now returns only preventive HCPCS code information for the current date, instead of the current calendar year.

Newly Supported Preventive HCPCS Codes

HETS 270/271 now supports the following HCPCS codes:
81528 - Oncology (colorectal) screening, quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations, promoter methylation of NDRG4 and BMP3) and fecal hemoglobin, utilizing stool, algorithm reported as a positive or negative result
G0297 - Low dose CT scan (LDCT) for lung cancer screening
G0442 - Annual alcohol misuse screening, 15 minutes
G0443 - Brief face-to-face behavioral counseling for alcohol misuse, 15 minutes
G0472 - Hepatitis C antibody screening, for individual at high risk and other covered indications
G0473 - Face-to-face behavioral counseling for obesity, group (2-10), 30 minutes
G0475 - HIV Antigen/antibody, combination assay, screening
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.