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Noridian Healthcare Solutions, LLC: Medicare jurisdictions and Local Coverage Determinations

Noridian Healthcare Solutions, LLC administers Medicare fee-for-service claims in 34 states and territories through 30 contracts, and maintains 174 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
174
Contracts
30
01111, 01112, 01182, 01211, 01212, 01311, 01312, 01911, 02101, 02102, 02201, 02202, 02301, 02302, 02401, 02402, 03101, 03102, 03201, 03202, 03301, 03302, 03401, 03402, 03501, 03502, 03601, 03602, 16013, 19003
States and territories
34
AK AS AZ CA CNMI CT DC DE GU HI IA ID KS MA MD ME MO MT ND NE NF NH NJ NV NY OR PA RI SD SF UT VT WA WY
Contractor site
med.noridianmedicare.com/web/jdd

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 Noridian Healthcare Solutions, LLC
ContractTypeStates
01111A and B MACCA
01112A and B MACNF
01182A and B MACSF
01211A and B MACAS CNMI GU HI
01212A and B MACAS CNMI GU HI
01311A and B MACNV
01312A and B MACNV
01911A and B MACAS CA CNMI GU HI NV
02101A and B MACAK
02102A and B MACAK
02201A and B MACID
02202A and B MACID
02301A and B MACOR
02302A and B MACOR
02401A and B MACWA
02402A and B MACWA
03101A and B MACAZ
03102A and B MACAZ
03201A and B MACMT
03202A and B MACMT
03301A and B MACND
03302A and B MACND
03401A and B MACSD
03402A and B MACSD
03501A and B MACUT
03502A and B MACUT
03601A and B MACWY
03602A and B MACWY
16013DME MACCT DC DE MA MD ME NH NJ NY PA RI VT
19003DME MACAK AS AZ CA CNMI GU HI IA ID KS MO MT ND NE NV OR SD UT WA WY

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 Noridian Healthcare Solutions, LLC
LCDTitleEffective
L40265Peripheral Nerve Injections and Procedures for Chronic Pain2026-11-01
L40242MolDX: Genetic Testing for Hereditary Thrombophilia2026-10-12
L40222MolDX: Non-Next Generation Sequencing Targeted Molecular Panel Tests for Targeted Therapy in Cancer2026-10-12
L40324Allergy Diagnostic Testing2026-09-27
L40060MolDX: Molecular Testing for Solid Organ Allograft Rejection2026-08-30
L40062MolDX: Molecular Testing for Solid Organ Allograft Rejection2026-08-30
L40255Temporary Nontherapeutic Ambulatory Cardiac Monitoring Devices2026-08-13
L40197MolDX: Biomarker Testing in Metabolic Dysfunction-Associated Steatotic Liver Disease and Metabolic Dysfunction-Associated Steatohepatitis2026-08-10
L33794External Infusion Pumps2026-07-01
L33610Intravenous Immune Globulin2026-07-01

All active LCDs (174)

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 Noridian Healthcare Solutions, LLC cover?

Noridian Healthcare Solutions, LLC holds 30 Medicare contracts (01111 A and B MAC; 01112 A and B MAC; 01182 A and B MAC; 01211 A and B MAC; 01212 A and B MAC; 01311 A and B MAC; 01312 A and B MAC; 01911 A and B MAC; 02101 A and B MAC; 02102 A and B MAC; 02201 A and B MAC; 02202 A and B MAC; 02301 A and B MAC; 02302 A and B MAC; 02401 A and B MAC; 02402 A and B MAC; 03101 A and B MAC; 03102 A and B MAC; 03201 A and B MAC; 03202 A and B MAC; 03301 A and B MAC; 03302 A and B MAC; 03401 A and B MAC; 03402 A and B MAC; 03501 A and B MAC; 03502 A and B MAC; 03601 A and B MAC; 03602 A and B MAC; 16013 DME MAC; 19003 DME MAC) covering AK, AS, AZ, CA, CNMI, CT, DC, DE, GU, HI, IA, ID, KS, MA, MD, ME, MO, MT, ND, NE, NF, NH, NJ, NV, NY, OR, PA, RI, SD, SF, UT, VT, WA, WY.

How many LCDs does Noridian Healthcare Solutions, LLC have?

174 Local Coverage Determinations are active in the current Medicare Coverage Database export for Noridian Healthcare Solutions, LLC. 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.