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In the absence of a LCD, NCD, billing and coding article or CMS manual instruction, NCCI or MUE, reasonable and necessary guidelines still apply. Read this article to learn more.
First Coast identified several errors when providers bill for genetic testing. Read this article to learn more about billing these services correctly.
CMS develops NCDs to describe circumstances for Medicare coverage nationwide for an item or service. NCDs generally outline the conditions for which an item or service is covered (or not covered) under §1862(a)(1) of the Social Security Act…
View the most recent updates for our LCDs and articles. An LCD and two articles have been revised.
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.
View materials and listen to recordings from past meetings.