Latest updates: Billing and coding

The code list for drugs has been updated.

Use this decision flowchart to assist in correctly applying the 57 modifier.

Use this decision flowchart to assist in correctly applying the 25 modifier.

Use this decision flowchart to assist in correctly applying the 25 modifier.

Use this decision flowchart to assist in correctly applying the 57 modifier.

Read this article for important changes and revisions to the MDPP program for calendar year 2026.

CMS recently revised the code descriptor for HCPCS code G0136 to remove the social determinants of health risk (SDOH) assessment. The code remains on the Medicare telehealth services list. View this…

If your patient shows signs of cognitive impairment during a routine visit, Medicare covers a separate visit to more thoroughly assess your patient’s cognitive function and develop a care plan. Use…

CMS entered into an agreement with the Department of Veterans Affairs (VA), which allows First Coast to recover duplicate payments for the same services made to providers by both Medicare and the VA…

CMS entered into an agreement with the Department of Veterans Affairs (VA), which allows First Coast to recover duplicate payments for the same services made to providers by both Medicare and the VA…