Specialty × MAC Jurisdiction Intelligence
EndocrinologyCMS & MAC AlertsFirst Coast Service Options · Jurisdictions JN
Every CMS transmittal, First Coast Service Options LCD revision, Federal Register notice, and OIG alert affecting Endocrinology billing teams in Florida, Puerto Rico, U.S. Virgin Islands. Signal-scored and updated daily.
Active alerts
12
Critical / High
2
MAC jurisdiction
JN
Highest-risk CPT
CPT 99214
Recent Endocrinology alerts under First Coast Service Options
2 of the 12 most recent Endocrinology reimbursement alerts are Critical/High-severity for First Coast Service Options (Jurisdictions JN) billing teams. Each links to the source CMS/MAC document with the codes to review and the action to take.
- FDA Approval: MOUNJARO (TIRZEPATIDE) — Type 1 - New Molecular EntitySep 3, 2026
- FDA Approval: ZEPBOUND (TIRZEPATIDE) — Type 10 - New Indication Submitted as Distinct NDA - Not ConsolidatedAug 28, 2026
- FDA Approval: SYNJARDY (EMPAGLIFLOZIN AND METFORMIN HYDROCHLORIDE) — Type 4 - New CombinationAug 14, 2026
- FDA Approval: KAZANO (ALOGLIPTIN AND METFORMIN HYDROCHLORIDE) — Type 4 - New CombinationAug 14, 2026
- FDA Approval: SEGLUROMET (ERTUGLIFLOZIN AND METFORMIN HYDROCHLORIDE) — Type 4 - New CombinationAug 14, 2026
- FDA Approval: JENTADUETO XR (LINAGLIPTIN AND METFORMIN HYDROCHLORIDE) — Type 4 - New CombinationAug 14, 2026
- FDA Approval: JANUMET XR (SITAGLIPTIN AND METFORMIN HYDROCHLORIDE) — Type 3 - New Dosage FormAug 14, 2026
- FDA Approval: FORTAMET (METFORMIN HYDROCHLORIDE) — Type 5 - New Formulation or New ManufacturerAug 14, 2026
- FDA Approval: DAPAGLIFLOZIN AND METFORMIN HYDROCHLORIDE (DAPAGLIFLOZIN AND METFORMIN HYDROCHLORIDE) — Type 4 - New CombinationAug 14, 2026
- FDA Approval: SYNJARDY XR (EMPAGLIFLOZIN, METFORMIN HYDROCHLORIDE) — Type 3 - New Dosage FormAug 14, 2026
- FDA Approval: ACTOPLUS MET (PIOGLITAZONE AND METFORMIN HYDROCHLORIDE) — Type 4 - New CombinationAug 14, 2026
- FDA Approval: INVOKAMET (CANAGLIFLOZIN AND METFORMIN HYDROCHLORIDE) — Type 4 - New CombinationAug 14, 2026
Signal intelligence — Endocrinology × First Coast Service Options
Highest-risk CPT code
CPT 99214
Office visit, established patient, moderate complexity
View full CPT alert profileFirst Coast Service Options jurisdiction
JN
Covers Florida, Puerto Rico, U.S. Virgin Islands. Every endocrinology LCD revision, CMS transmittal, and Federal Register notice affecting these states is signal-scored and surfaced here daily.
View all 12 active alerts for Endocrinology under First Coast Service Options
Full alert text, action recommendations, effective date deadlines, MAC LCD links, and signal score rationale — updated daily.
About First Coast Service Options (Jurisdictions JN)
First Coast Service Options is the Medicare Administrative Contractor responsible for processing Medicare Part A and Part B claims in Jurisdictions JN, covering Florida, Puerto Rico, U.S. Virgin Islands.First Coast Service Options issues Local Coverage Determinations (LCDs) that define coverage criteria, ICD-10-CM diagnosis code requirements, and CPT billing guidelines for Endocrinology procedures within its jurisdiction. CLV Intelligence monitors First Coast Service Options's LCD publication feed, provider bulletin archives, and CMS contractor-specific transmittals daily.
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Frequently asked
- What are the recent CMS updates for Endocrinology under First Coast Service Options MAC?
- According to CLV Intelligence data, updated September 3, 2026, there are currently 12 active CMS and MAC reimbursement policy alerts for Endocrinology under First Coast Service Options (Jurisdictions JN). Of these, 2 are classified Critical or High priority based on signal scoring of source authority, effective-date urgency, and document type. Alerts originate from First Coast Service Options Local Coverage Determinations (LCDs), CMS transmittals, Federal Register proposed and final rules, and OIG compliance publications. CLV Intelligence monitors all First Coast Service Options publications daily and assigns a signal score (0–100) to surface the changes most likely to affect coding accuracy and reimbursement.
- How many active audit alerts exist for Endocrinology CPT codes under First Coast Service Options?
- According to CLV Intelligence data, 12 active reimbursement and policy alerts currently affect Endocrinology CPT codes monitored under First Coast Service Options (Jurisdictions JN). 2 of these alerts carry a Critical or High signal score, indicating elevated compliance risk or near-term effective dates requiring timely coding review. The highest-risk CPT code currently flagged in the Endocrinology alert set is CPT 99214 (Office visit, established patient, moderate complexity), which appears in First Coast Service Options LCD and CMS billing guidance revisions. CLV Intelligence cross-references each alert against the HCPCS and CPT code sets to surface procedure-level exposure for Endocrinology billing teams.
- Which MAC jurisdiction covers Endocrinology billing for practices in the First Coast Service Options region?
- First Coast Service Options administers Medicare Part A and Part B claims for practices in Jurisdictions JN. For Endocrinology providers, First Coast Service Options issues Local Coverage Determinations (LCDs) that define coverage criteria, billing requirements, ICD-10-CM diagnosis code ranges, and CPT procedure code guidelines applicable to Medicare claims in its jurisdiction. According to CLV Intelligence data, First Coast Service Options monitors 12 open Endocrinology alerts as of September 3, 2026. Practices in the First Coast Service Options jurisdiction should monitor LCD revisions at First Coast Service Options's provider portal and through aggregated daily alerting services such as CLV Intelligence.
- Is CPT 99214 currently under CMS or MAC review for Endocrinology?
- According to CLV Intelligence data, CPT 99214 (Office visit, established patient, moderate complexity) is currently flagged as a high-signal procedure code within the Endocrinology alert set monitored under First Coast Service Options (Jurisdictions JN). CMS and MAC contractors regularly review high-volume procedure codes for coverage criteria changes, NCCI edit revisions, medical necessity documentation requirements, and fee schedule adjustments. CLV Intelligence assigns CPT 99214 an elevated signal score based on the volume and recency of policy documents referencing this code. Endocrinology coding teams should review the latest First Coast Service Options LCD and CMS transmittals affecting CPT 99214 before claim submission to avoid denials or post-payment audits.