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Major Announcement from CMS and DME MACs: Proposed LCD Changes for the Lower Limb Prostheses Policy

Today, January 18, 2024, the Centers for Medicare & Medicaid Services (CMS) and the Durable Medical Equipment Medicare Administrative Contractors (DME MACs) released information for proposed changes to the Local Coverage Determination (LCD) for lower limb prostheses.  The proposed changes represent a major leap forward in the care of K2 patients.

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