Medical policy

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Humanitarian device exemption

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…

Humanitarian device exemption

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…

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).

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).

Drugs and biologicals: Self-administered drug exclusions

Self-administered drugs 

Retirement of LCDs and local coverage articles

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

Inappropriate billing of anesthesia services for epidural steroid injections (ESI) and facet joint injections for pain management

The Office of Inspector General (OIG) conducted a nationwide audit identifying Medicare Part B payments to physicians for anesthesia administered during selected spinal pain management (SPM)…

Requesting a new LCD

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

Requesting a new LCD

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

Proposed local coverage determination: Contractor advisory committee (CAC) meetings

Information for the upcoming CAC meetings for providers and interested stakeholders in Florida, Puerto Rico, and the U.S. Virgin Islands.