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View the must updated information on the process for requesting a new LCD.
Join First Coast's Contractor Advisory Committee (CAC) to provide your input during the development process of LCDs.
View these guidelines regarding what it means for a service to be "reasonable and necessary."
Self-administered drugs
The purpose of the open meeting is to allow interested parties the opportunity to make presentations of information and offer comments related to proposed local coverage determinations (LCDs) and/or the revised portion of a proposed LCD tha…
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.
Summary for hyperbaric oxygen therapy (October 2020).
View this summary for outpatient rehabilitation services (August - November 2020 and August 2021).
Pricing has been updated for codes 93241, 93243, 93245, and 93247.
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…