Vein ablation and related services
Vein ablation and related services; some patients may want varicose vein treatment for cosmetic reasons. Medicare does not cover...
Articles
Article Type
Category
Tips to prevent claim adjustment reason code (CARC) PR 96
Read this article for tips on how to prevent claim adjustment reason code (CARC) PR 96.
Revision to social determinants of health risk assessment (HCPCS code G0136)
CMS recently revised the code descriptor for HCPCS code G0136 to remove the social determinants of health risk (SDOH) assessment...
First Coast’s approved 5010 vendor list
This is a list of electronic billing vendors, billing services and clearinghouses who have passed X12N 837 (5010 errata) testing...
Quarterly update to the Medicare Physician Fee Schedule Database (MPFSD) - April 2026 update
Effective April 1, the MPFS will reflect updated pricing for a number of codes. Please review this article to learn about which...
Skin substitute graft for treatment of DFU and VLU lower extremities (15271-15278)
View targeted probe and educate (TPE) round results for 15271-15278.
Evaluation and management services – initial inpatient care visits and subsequent inpatient care visits
Review the top denial / partial denial reasons and high-level results of evaluation and management services - initial inpatient...
Persons with Medicare
As a Medicare beneficiary, you are the most important person in the Medicare program. Although you will rarely need to file a...
Appropriate use of assistant at surgery modifiers and payment indicators
Here is clarification on the appropriate use of modifiers to report assistant at surgery services and how payment is determined...
Kisunla for monoclonal antibodies directed against amyloid for the treatment of Alzheimer's disease
Medicare will pay for Kisunla for monoclonal antibodies directed against amyloid for the treatment of Alzheimer's disease...