‘Reasonable and necessary’ guidelines
View these guidelines regarding what it means for a service to be "reasonable and necessary."
Articles
Article Type
Category
Local and national coverage reference guide
Learn how to locate local and national coverage information regarding local coverage determinations (LCDs) and national coverage...
Retirement of LCDs and local coverage articles
View these reasons why First Coast may consider retiring LCDs and articles.
Proposed local coverage determination: Contractor advisory committee (CAC) meetings
Information for the upcoming CAC meetings for providers and interested stakeholders in Florida, Puerto Rico, and the U.S. Virgin...
Drugs and biologicals: Self-administered drug exclusions
Self-administered drugs
Self-Administered Drug Exclusion List (A52571)
Medicare provides only limited benefits for outpatient...
Inappropriate billing of anesthesia services for epidural steroid injections (ESI) and facet joint injections for pain management
The Office of Inspector General (OIG) conducted a nationwide audit identifying Medicare Part B payments to physicians for...
Advanced LCD search
Medicare Coverage Database code and keyword search
To search the Medicare Coverage Database (MCD) for First Coast's LCDs and...
FastTrack to Medicare coverage policies
FastTrack to Medicare coverage policies provides a hierarchy of critical resources to determine if a Medicare policy exists, and...