Specialty × MAC Jurisdiction Intelligence
OrthopedicsCMS & MAC AlertsNoridian Healthcare Solutions · Jurisdictions JE, JF
Every CMS transmittal, Noridian Healthcare Solutions LCD revision, Federal Register notice, and OIG alert affecting Orthopedics billing teams in Alaska, Arizona, California, Hawaii, Idaho, Montana, Nevada, North Dakota, Oregon, South Dakota, Utah, Washington, Wyoming. Signal-scored and updated daily.
Active alerts
12
Critical / High
1
MAC jurisdiction
JE, JF
Highest-risk CPT
CPT 99213
Recent Orthopedics alerts under Noridian Healthcare Solutions
1 of the 12 most recent Orthopedics reimbursement alerts are Critical/High-severity for Noridian Healthcare Solutions (Jurisdictions JE, JF) billing teams. Each links to the source CMS/MAC document with the codes to review and the action to take.
- LCD L39911: Total Joint Arthroplasty — WPSWPS · Aug 27, 2026
- LCD L38213: Percutaneous Vertebral Augmentation (PVA) for Vertebral Compression Fracture (VCF) — WPSWPS · Jul 30, 2026
- LCD L39139: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound — Wellpoint FederalNational Government Services · Jul 24, 2026
- LCD L36406: Minimally-invasive Surgical (MIS) Fusion of the Sacroiliac (SI) Joint — Wellpoint FederalNational Government Services · Jul 23, 2026
- LCD L36039: Total Joint Arthroplasty — Wellpoint FederalNational Government Services · Jul 23, 2026
- LCD L39128: Amniotic and Placental-Derived Product Injections and/or Applications for Musculoskeletal Indications, Non-Wound — Palmetto GBAPalmetto GBA · Jul 16, 2026
- Proposed LCD DL33318: Knee Orthoses — CGSCGS Administrators · Jun 5, 2026
- Proposed LCD DL40232: Total Joint Arthroplasty — CGSCGS Administrators · Jun 5, 2026
- LCD L39068: Platelet Rich Plasma — NovitasNovitas · Jun 5, 2026
- LCD L39071: Platelet Rich Plasma — First CoastFirst Coast · Jun 5, 2026
- LCD L39770: Cervical Fusion — NGSNational Government Services · Jun 5, 2026
- LCD L34246: Routine Foot Care and Debridement of Nails — CGSCGS Administrators · Jun 5, 2026
Signal intelligence — Orthopedics × Noridian Healthcare Solutions
Highest-risk CPT code
CPT 99213
Office visit, established patient, low complexity
View full CPT alert profileNoridian Healthcare Solutions jurisdiction
JE, JF
Covers Alaska, Arizona, California, Hawaii, Idaho, Montana, Nevada, North Dakota, Oregon, South Dakota, Utah, Washington, Wyoming. Every orthopedics LCD revision, CMS transmittal, and Federal Register notice affecting these states is signal-scored and surfaced here daily.
View all 12 active alerts for Orthopedics under Noridian Healthcare Solutions
Full alert text, action recommendations, effective date deadlines, MAC LCD links, and signal score rationale — updated daily.
About Noridian Healthcare Solutions (Jurisdictions JE, JF)
Noridian Healthcare Solutions is the Medicare Administrative Contractor responsible for processing Medicare Part A and Part B claims in Jurisdictions JE, JF, covering Alaska, Arizona, California, Hawaii, Idaho, Montana, Nevada, North Dakota, Oregon, South Dakota, Utah, Washington, Wyoming.Noridian Healthcare Solutions issues Local Coverage Determinations (LCDs) that define coverage criteria, ICD-10-CM diagnosis code requirements, and CPT billing guidelines for Orthopedics procedures within its jurisdiction. CLV Intelligence monitors Noridian Healthcare Solutions'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 Orthopedics under Noridian Healthcare Solutions MAC?
- According to CLV Intelligence data, updated August 27, 2026, there are currently 12 active CMS and MAC reimbursement policy alerts for Orthopedics under Noridian Healthcare Solutions (Jurisdictions JE, JF). Of these, 1 are classified Critical or High priority based on signal scoring of source authority, effective-date urgency, and document type. Alerts originate from Noridian Healthcare Solutions Local Coverage Determinations (LCDs), CMS transmittals, Federal Register proposed and final rules, and OIG compliance publications. CLV Intelligence monitors all Noridian Healthcare Solutions 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 Orthopedics CPT codes under Noridian Healthcare Solutions?
- According to CLV Intelligence data, 12 active reimbursement and policy alerts currently affect Orthopedics CPT codes monitored under Noridian Healthcare Solutions (Jurisdictions JE, JF). 1 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 Orthopedics alert set is CPT 99213 (Office visit, established patient, low complexity), which appears in Noridian Healthcare Solutions 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 Orthopedics billing teams.
- Which MAC jurisdiction covers Orthopedics billing for practices in the Noridian Healthcare Solutions region?
- Noridian Healthcare Solutions administers Medicare Part A and Part B claims for practices in Jurisdictions JE, JF. For Orthopedics providers, Noridian Healthcare Solutions 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, Noridian Healthcare Solutions monitors 12 open Orthopedics alerts as of August 27, 2026. Practices in the Noridian Healthcare Solutions jurisdiction should monitor LCD revisions at Noridian Healthcare Solutions's provider portal and through aggregated daily alerting services such as CLV Intelligence.
- Is CPT 99213 currently under CMS or MAC review for Orthopedics?
- According to CLV Intelligence data, CPT 99213 (Office visit, established patient, low complexity) is currently flagged as a high-signal procedure code within the Orthopedics alert set monitored under Noridian Healthcare Solutions (Jurisdictions JE, JF). 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 99213 an elevated signal score based on the volume and recency of policy documents referencing this code. Orthopedics coding teams should review the latest Noridian Healthcare Solutions LCD and CMS transmittals affecting CPT 99213 before claim submission to avoid denials or post-payment audits.