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Proposed LCDs

General information regarding proposed LCDs and open meetings.

Requesting a new LCD

View the must updated information on the process for requesting a new LCD.

Investigational device exemption (IDE) studies

Requirements for IDEs approved by CMS.

Assist us in developing LCDs

Join First Coast's Contractor Advisory Committee (CAC) to provide your input during the development process of LCDs.

Contractor advisory committee (CAC) meeting minutes

View CAC meeting minutes from our meeting on February 19, 2026, on the use of urine-based biomarkers in patients with microhematuria.

Billing and coding of routine costs

View these billing and coding instructions of routine costs for qualifying clinical trials.

Pre-market approval (PMA), PMA post-approval studies, pre-market notification (PMN) 510(k), and 510(k) post-approval extension studies

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…

Retirement of LCDs and local coverage articles

View these reasons why First Coast may consider retiring LCDs and articles.

‘Reasonable and necessary’ guidelines

View these guidelines regarding what it means for a service to be "reasonable and necessary."

Local and national coverage reference guide

Learn how to locate local and national coverage information regarding local coverage determinations (LCDs) and national coverage determinations (NCDs).