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Billing Mpox vaccine and laboratory codes

February 18, 2026
This article will assist providers with proper billing relating to the Mpox vaccine and laboratory codes. This article was updated September 6 to advise providers to include the product code on claims.

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…

Goniotomy procedures performed in conjunction with insertion of a glaucoma drainage device is considered not reasonable and necessary

February 18, 2026
View this reminder regarding correct reporting of micro or minimally invasive glaucoma surgery (MIGS).

CMS beneficiary notices

February 16, 2026
Learn about the CMS advance beneficiary notices, including when and which types of notices should be used to inform beneficiaries of their financial liability, appeal rights, and protections. This article includes a link to the renewed vers…

Part A outpatient date of service reporting and split billing

December 23, 2025
This article is a reminder for all outpatient claim submitters about how to correctly submit the date of service on the claim.

Appropriate drug billing for Prolia (denosumab) injections, J0897

December 23, 2025
View this important information you must know when billing for Prolia (denosumab) injections, J0897.

Billing for vein ablation services? Access our LCD guidelines

March 18, 2026
Based on claims reviewed by the recovery audit contractor (RAC), First Coast has identified top denials for services within the category of vein ablation (codes 36475 and 36478) relating to endovenous radiofrequency ablation and laser treat…

MSP and conditional payment request claim filing guidelines

December 23, 2025
Please review this article for details on how to properly bill Medicare secondary payer (MSP) and conditional payment request claims on 837 institutional claims, and the use of occurrence code (OC) 24 and date of denial.

Allowing electronic submission of medically denied cancel claims, reason code 30941

December 23, 2025
To determine if a claim was medically reviewed, providers should submit the requests correctly.

Billing instructions for implanted prosthetic devices with HCPCS code C9899: Reason code 32354

March 18, 2026
To promote consistency in the claim submission process, follow these instructions when billing HCPCS code C9899.
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