Medicare AdvantageBilling CodesMedium impact
Florida Blue Medicare Policy Update: S Codes No Longer Accepted Effective January 2026
Florida Blue·FL·Medicare
Effective date
Jan 1, 2026
We identified it
Jun 16, 2026
Summary
Florida Blue Medicare will no longer accept S codes for durable medical equipment (DME) and home-care services effective January 1, 2026. Providers must switch to using CMS-recognized codes instead of generic S codes for all claims submission.
Action Required
Before January 1, 2026: Billing team must review current coding practices and eliminate all S codes used for DME and home-care services. Update billing systems and procedures to use appropriate CMS-recognized codes only. Consult CMS.gov or CMS Medicare Claims Processing Manual (CMS Pub. 100-04) for proper code alternatives. Contact Medicare Provider Call Center at 1-866-240-9596 for questions or exception requests.