Part B

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Request a new LCD or an LCD reconsideration electronically

Are you sending hardcopy mail to submit your requests to First Coast? Did you know there are faster and easier ways to send your requests to us? Avoid the wait. Learn about the electronic options…

Prior authorization program for certain hospital outpatient department services - claim submission guidelines

Claims submitted for a prior authorization request (PAR) that received a provisional affirmation PA decision, including any service that was part of a partially affirmed decision, must include the 14…

Customer service hours of availability for U.S. Virgin Islands and Puerto Rico providers

With daylight saving time beginning, the Provider Contact Center hours of operation will be modified for providers in the U.S. Virgin Islands and Puerto Rico.

Locate guidelines on the First Coast website

A procedure can have other policies or guidelines besides an LCD. Search our website for additional information. Step 1: Perform a standard search in the First Coast website. 

Prior authorization: Facet joints and cervical fusion

CMS has removed CPT codes 64492 and 64495 from the listing of codes requiring prior authorization. View our article to learn more about these changes.

Prior authorization: Facet joints and cervical fusion

CMS has removed CPT codes 64492 and 64495 from the listing of codes requiring prior authorization. View our article to learn more about these changes.

Response to the severe storms, straight-line winds, and flooding in the state of Texas

CMS announces resources and flexibilities to assist with the public health emergency in the state of Texas.

Scribe services

A scribe is a person who documents the physician's dictated notes, patient conversations, and activities during the visit, usually in real time. Scribes are not, in themselves, providers of items or…

Instructions for completing the EDI SPOT enrollment form for third-party organizations

These instructions will assist billing services and clearinghouses in completing the EDI SPOT enrollment form as a third-party entity.

Physician supervision of diagnostic tests

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…