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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 cancer. Article was updated January 23, t…
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).
Review this article for information on billing psychotherapy services when performed with evaluation and management and prolonged services.
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. Repetitive ambulance services are often needed…
The following article provides a list of common terms used by the medical review department for prior authorization requests.
A procedure can have other policies or guidelines besides an LCD or NCD. The CMS website has a wealth of information. Read this article for more information.
Medicare Administrative Contractors (MAC) develop LCDs to describe circumstances for Medicare coverage for our jurisdictions. There are two ways to view LCDs, either by viewing the list of all active LCDs and articles on the medical policy/…
Read about pre-market approval (PMA), PMA post-approval studies, pre-market notification (PMN) 510(k), and 510(k) post-approval extension studies guidelines related only to percutaneous transluminal angioplasty (PTA) with carotid artery ste…
View these billing and coding instructions of routine costs for qualifying clinical trials.
Join First Coast's Contractor Advisory Committee (CAC) to provide your input during the development process of LCDs.