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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.
Flowcharts for new LCD and LCD reconsideration requests to provide step-by-step instructions of the processes.
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.
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…
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.
View our latest article on SPRAVATO® (esketamine) nasal spray - used to treat treatment-resistant depression in adults - and its documentation requirements.
View the most recent updates for our LCDs and articles. Three articles have been revised.
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…