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New global surgery calculator

April 21, 2026
Counting 10- or 90-day global periods manually? Our new global surgery calculator quickly determines the global period end date for surgical procedures. Simply enter the procedure date to obtain the surgical period end date – no manual…

Medicare Diabetes Prevention Program (MDPP) changes for calendar year 2026

March 25, 2026
Read this article for important changes and revisions to the MDPP program for calendar year 2026.

Revision to social determinants of health risk assessment (HCPCS code G0136)

March 25, 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 article for details on the new assessment…

Medicare coverage of driveline kits for ventricular assist devices (VADs)

January 14, 2026
Documentation is required to process claims for ventricular assist device (VAD) supplies. View this article regarding coverage of driveline kits and to avoid delays when billing VAD supplies.

End-stage renal disease (ESRD) billing requirements

February 12, 2026
Read the following article for the most common billing requirements for end-stage renal disease related services.

Physician supervision of diagnostic tests

February 25, 2026
The Code of Federal Regulations requires that, with certain exceptions, diagnostic tests covered under the Social Security Act and payable under the physician fee schedule must be performed under the supervision of an individual meeting the…

Multiple procedure payment reduction on the professional component and technical component of certain diagnostic imaging procedures

February 16, 2026
The MPPR on diagnostic imaging applies when multiple services are furnished by the same physician to the same patient in the same session on the same day. Find out the details here.

Process for pathology, laboratory, and other codes

March 11, 2026
Avoid negative impacts to your claims by providing the medical records for the laboratory, pathology and other codes claims submissions indicated in this article. First Coast requests specific documentation with submission of these codes. P…

Process for supplying invoice amount on certain HCPCS codes - avoid rejected claims

May 12, 2026
The supply codes list has been updated.

Radioactive diagnostic agents for positron emission tomography of prostate-specific membrane antigen positive lesions in men with prostate cancer

February 25, 2026
Read this article to learn more about radioactive diagnostic agents for positron emission tomography of prostate-specific membrane antigen positive lesions in men with prostate cancer.
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