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CMS proposes changes to coverages for lower limb prostheses

CMS proposes changes to coverages for lower limb prostheses

WASHINGTON – CMS and the DME MACs have published proposed changes to the local coverage determination (LCD) for lower limb prostheses, in a “major leap forward in the care of K2 patients,” according to the American Orthotic & Prosthetic Association (AOPA).  

Under the proposed changes, the agency will now allow limited coverage of microprocessor-controlled knees for select patients who are classified as K2, instead of limiting the technology to patients classified as K3 and above.  

CMS and the DME MACs are currently soliciting public feedback and comments on the proposed LCD changes through March 2, 2024. The agency will also host a public meeting on Feb. 22. 

AOPA is currently reviewing the LCD changes and will provide appropriate feedback and comments.  

View the proposed LCD changes here.

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