Final Lower Limb Prothesis Policy Released
Earlier this year, AOPA communicated the exciting news that the DME MACs had published a proposed revision to the Medicare Lower Limb Prosthesis Policy that would expand coverage for pneumatic/hydraulic and/or microprocessor controlled prosthetic knees and certain advanced prosthetic feet for beneficiaries classified as functional level 2 (K2) ambulators. The proposed LCD represented a tremendous shift in coverage policy that recognized the clinical benefits these prosthetic components may offer to an entirely new population of patients that may benefit the most from what they offer. On Thursday, July 18, 2024, the DME MACs published the final version of the revised LCD, Policy Article, and a summary of written comments they received along with their response.