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Lower Extremity Prosthetics (for Ohio Only)
Effective date
Dec 1, 2026
Identified
Nov 7, 2026
Summary
UnitedHealthcare Community Plan of Ohio added HCPCS code L5992 to its Lower Extremity Prosthetics medical policy for Ohio Medicaid members, and updated the Clinical Evidence and References sections. The change takes effect December 1, 2026.
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What to do
Action · 2 steps
01By 2026-12-01: Billing team should add HCPCS L5992 to the charge master or charge entry list for Ohio Medicaid (UnitedHealthcare Community Plan of Ohio) members so it can be selected when a lower extremity prosthetic is billed, and confirm that documentation supporting the device meets the updated clinical criteria in the policy.
02Providers and front desk staff should be told that L5992 is now an applicable code for these members starting December 1, 2026, and that claims for it should be checked against the updated Clinical Evidence and References sections before submission.
Codes mentioned
L5992
Original notice
Lower Extremity Prosthetics (for Ohio Only)
uhcprovider.com · Always check the source before changing claims.