First Coast Service Options LCD Policies
Current First Coast Service Options (FCSO) local coverage determination policies for common ophthalmic procedures. For achived/previous versions, scroll to the "associated documents" section of each policy. Each archived version includes the date it was updated and when it was in effect. Region covered:
- JN - Florida, Puerto Rico, Virgin Islands
Current Policies
Amniotic Membrane (AMT) - L36237 Retired on March 25, 2022
B-Scan - L33904 Retired on Dec. 15, 2018
Blepharoplasty
Botox
Cataract Surgery
Corneal Topography
Destruction of Malignant Skin Lesions
Drug Wastage - A52578 Retired on Dec. 1, 2022
Dry Eye Disease - Retired on June 25, 2020
ERG
Excision of Malignant Skin Lesions
FA - Retired on April 24, 2020
Fundus Photography - Retired on April 24, 2020
ICG - Retired on April 29, 2020
Laser Iridotomy - Retired on March 11, 2020
Laser Trabeculoplasty - Retired on March 11, 2020
Lesion Removal
Minimally Invasive Glaucoma Surgery (MIGS)
Noncovered Services - Retired on July 1, 2020
Off-label Drug Usage
- A56744 Retired on Aug. 17, 2023
- L33915 Retired on Aug. 17, 2023
Ophthalmic Biometry - Retired on April 29, 2020
Ophthalmological Services - Retired on April 29, 2020
Ophthalmoscopy - Retired on April 4, 2020
SCODI
VEGF Treatment
- A56716 Retired on April 1, 2023
- L36962 Retired on Feb. 23, 2023
Visual Field
YAG Capsulotomy - Retired on March 27, 2020