Medical policy
Request a new LCD or an LCD reconsideration electronically
Are you sending hardcopy mail to submit your requests to First Coast? Did you know there are faster and easier ways to send your requests to us? Avoid the wait. Learn about the electronic options…
Request a new LCD or an LCD reconsideration electronically
Are you sending hardcopy mail to submit your requests to First Coast? Did you know there are faster and easier ways to send your requests to us? Avoid the wait. Learn about the electronic options…
View NCDs
CMS develops NCDs to describe circumstances for Medicare coverage nationwide for an item or service. NCDs generally outline the conditions for which an item or service is covered (or not covered)…
View NCDs
CMS develops NCDs to describe circumstances for Medicare coverage nationwide for an item or service. NCDs generally outline the conditions for which an item or service is covered (or not covered)…
Prior authorization for ambulance transports is for repetitive transports
A repetitive service is defined as medically necessary ambulance transportation that is furnished three or more times during a 10-day period OR at least once per week for at least three weeks.…
Prior authorization for ambulance transports is for repetitive transports
A repetitive service is defined as medically necessary ambulance transportation that is furnished three or more times during a 10-day period OR at least once per week for at least three weeks.…
Psychotherapy services
Review this article for information on billing psychotherapy services when performed with evaluation and management and prolonged services.
Cardiac lithotripsy: A modern approach to coronary artery calcification
In September 2025, a multi-jurisdictional evidentiary Contractor Advisory Committee (CAC) convened to review the clinical evidence and expert perspectives on coronary intravascular lithotripsy (IVL…
Cardiac lithotripsy: A modern approach to coronary artery calcification
In September 2025, a multi-jurisdictional evidentiary Contractor Advisory Committee (CAC) convened to review the clinical evidence and expert perspectives on coronary intravascular lithotripsy (IVL…
NCD 110.24: Chimeric Antigen Receptor (CAR) T-cell therapy
Effective for dates of service on or after August 7, 2019, Medicare will pay claims from approved providers for administration of autologous T-cells expressing at least one CAR for the treatment for…