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First Coast Service Options, Inc.: Medicare jurisdictions and Local Coverage Determinations

First Coast Service Options, Inc. administers Medicare fee-for-service claims in 3 states and territories through 5 contracts, and maintains 79 active Local Coverage Determinations in the current Medicare Coverage Database export. Each LCD below applies only inside this contractor's jurisdiction; the same service can be covered under different criteria by the neighbouring MAC.

Reviewed by QuickIntell RCM Editorial Team · Last reviewed

Data effective

Key facts

Active LCDs
79
Contracts
5
09101, 09102, 09201, 09202, 09302
States and territories
3
FL PR VI
Contractor site
medicare.fcso.com

Jurisdictions

Contract numbers identify the jurisdiction on remittances and in the Medicare Coverage Database; A and B MAC contracts cover both institutional and professional claims, while DME and HHH contracts are national or regional specialty jurisdictions.

Medicare contracts held by First Coast Service Options, Inc.
ContractTypeStates
09101A and B MACFL
09102A and B MACFL
09201A and B MACPR VI
09202A and B MACPR
09302A and B MACVI

Most recently effective LCDs

Revision effective dates signal where this contractor has tightened or loosened criteria; the ten newest are listed first, with the full list below.

Ten most recently effective LCDs from First Coast Service Options, Inc.
LCDTitleEffective
L33912Trigger Point Injections2026-09-06
L40289Non-invasive Arterial Duplex Ultrasound of the Upper and Lower Extremities2026-05-17
L33906Epidural Steroid Injections for Pain Management2026-04-09
L33274Botulinum Toxins2025-11-09
L39367Genetic Testing in Oncology: Specific Tests2025-04-24
L38726Transurethral Waterjet Ablation of the Prostate2025-04-06
L39877Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound2024-12-01
L39799Cervical Fusion2024-08-11
L33930Facet Joint Interventions for Pain Management2024-08-11
L38664Implantable Continuous Glucose Monitors (I-CGM)2024-08-11

All active LCDs (79)

How to use this contractor's policies

A Local Coverage Determination applies only to claims processed by the contractor that wrote it, so the first question is which jurisdiction the rendering location falls in; the contracts table above answers that for institutional and professional claims, and durable medical equipment follows the DME MAC region instead. Each LCD states the covered indications, the documentation the record must contain and, through its companion Billing and Coding Article, the ICD-10 codes that support medical necessity and the HCPCS codes the policy edits. When a claim denies with CARC 50 and remark N115, the remark names the LCD; open it from the list above, compare the diagnosis on the claim with the article's covered list, and build the appeal on the documentation requirements rather than on the policy itself. Where this contractor has no LCD for a service and no National Coverage Determination exists, coverage is decided claim by claim under the reasonable-and-necessary standard, which is where prior authorization and pre-service review earn their keep.

Frequently asked questions

Which states does First Coast Service Options, Inc. cover?

First Coast Service Options, Inc. holds 5 Medicare contracts (09101 A and B MAC; 09102 A and B MAC; 09201 A and B MAC; 09202 A and B MAC; 09302 A and B MAC) covering FL, PR, VI.

How many LCDs does First Coast Service Options, Inc. have?

79 Local Coverage Determinations are active in the current Medicare Coverage Database export for First Coast Service Options, Inc.. Each LCD applies only in that contractor's jurisdiction, so the same service can be covered differently in a neighbouring state.

What is the difference between an LCD and an NCD?

A National Coverage Determination is set by CMS and binds every contractor. A Local Coverage Determination is written by one Medicare Administrative Contractor for its jurisdiction and cannot conflict with an NCD; where no NCD exists, the LCD is the controlling policy.

Sources

Every figure on this page is taken from the CMS publications below, as released by the Centers for Medicare & Medicaid Services. Projection built 2026-10-02. Verify against the primary file before billing or contracting decisions.

Disclaimer

Contractor jurisdictions and LCD lists are reproduced from the CMS Medicare Coverage Database export as an operational reference. Verify coverage against the current LCD text on cms.gov or the contractor site before billing. Not legal, clinical or billing advice.