Part B
Medicare Diabetes Prevention Program (MDPP) changes for calendar year 2026
Read this article for important changes and revisions to the MDPP program for calendar year 2026.
Revision to social determinants of health risk assessment (HCPCS code G0136)
CMS recently revised the code descriptor for HCPCS code G0136 to remove the social determinants of health risk (SDOH) assessment. The code remains on the Medicare telehealth services list. View this…
Quarterly update to the Medicare Physician Fee Schedule Database (MPFSD) - April 2026 update
Effective April 1, the MPFS will reflect updated pricing for a number of codes. Please review this article to learn about which codes are affected and the new amounts.
Provider contact center (PCC) closures
The PCC is closed certain days for training. View the March and April closure days and times.
Provider contact center (PCC) closures
The PCC is closed certain days for training. View the March and April closure days and times.
Skin substitute graft for treatment of DFU and VLU lower extremities (15271-15278)
View targeted probe and educate (TPE) round results for 15271-15278.
Skin substitute graft for treatment of DFU and VLU lower extremities (15271-15278)
View targeted probe and educate (TPE) round results for 15271-15278.
Evaluation and management services – initial inpatient care visits and subsequent inpatient care visits
Review the top denial / partial denial reasons and high-level results of evaluation and management services - initial inpatient care visits and subsequent inpatient care visits TPE round results.
First Coast’s approved 5010 vendor list
This is a list of electronic billing vendors, billing services and clearinghouses who have passed X12N 837 (5010 errata) testing with First Coast.
Evaluation and management services – initial inpatient care visits and subsequent inpatient care visits
Review the top denial / partial denial reasons and high-level results of evaluation and management services - initial inpatient care visits and subsequent inpatient care visits TPE round results.