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Proposed local coverage determinations (LCDs): Open meetings

March 6, 2026
Open meeting registration is currently not available. Registration will open approximately two weeks prior to the next meeting. Please watch here for meeting details and registration for the next meeting to be posted.

Humanitarian device exemption

April 16, 2026
First Coast may consider coverage of a humanitarian use device, intended to benefit a small patient population, when the provider follows the specific guidelines and submits the appropriate documentation.

Part B service-specific review - ambulance services (HCPCS code A0428 with A0425)

March 5, 2026
Summary for ambulance services (October 2020).

Part B service-specific review -- hyperbaric oxygen therapy (CPT code 99183)

March 24, 2026
Summary for hyperbaric oxygen therapy (October 2020).

Part B service-specific review -- outpatient rehabilitation services (CPT code 97110)

March 18, 2026
View this summary for outpatient rehabilitation services (August - November 2020 and August 2021).

2023 anesthesia conversion factors

February 25, 2026
This article contains the conversion factors for use in calculating payment for anesthesia services (procedure codes 00100 through 01999) for service dates January 1 through December 31, 2023 (revised).

2022 contractor-priced reimbursement rates for external electrocardiographic recording codes - Puerto Rico and U.S. Virgin Islands

April 8, 2026
Pricing has been updated for codes 93241, 93243, 93245, and 93247.

Florida payment localities by county

March 3, 2026
Here is a listing of the counties comprising each payment locality in Florida.

Electronic dental claims (837D)

May 13, 2026
First Coast is able to accept Part B dental claims in the 837D electronic claims format. These files may be submitted by dental providers or billing services and clearinghouses after being enrolled for 837D and passing the 837D test file re…

Submitting claims when the dollar amount exceeds $99,999.99

March 16, 2026
First Coast has seen an increase in claims for drugs, hemophilia clotting factors, and skin substitutes that exceed the dollar amounts above $99,999.99. Effective for claims received on or after November 6, claims missing the required infor…
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