Traditional MedicareCoverageMedium impact
Lower Limb Prostheses
Medicare/CMS - LCD·Orthopedics, PM&R (Physical Medicine & Rehab), General Surgery·Local Coverage Determination
Effective date
Apr 1, 2026
We identified it
Jun 17, 2026
Summary
This is a Local Coverage Determination for lower limb prostheses from CGS Administrators and Noridian Healthcare Solutions (DME MACs), effective April 1, 2026. Without access to the specific policy content, this appears to be an update to Medicare coverage criteria for prosthetic devices.
Action Required
By April 1, 2026: Review the complete LCD L33787 policy text at the provided CMS URL to identify specific coverage criteria, documentation requirements, and billing guidelines for lower limb prostheses. Update billing procedures and prior authorization workflows as needed based on the full policy content.