Proposed LCD Changes for Lower Limb Prostheses Policy Announced by CMS and DME MACs

Published in Government and Regulatory on January 18, 2024

On Jan. 18, 2024, the Centers for Medicare & Medicaid Services (CMS) and the Durable Medical Equipment Medicare Administrative Contractors (DME MACs) announced proposed changes to the Local Coverage Determination (LCD) for lower limb prostheses. The proposed changes will 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.

The proposed changes represent a major leap forward in the care of K2 patients. CMS and the DME MACs are currently soliciting public feedback and comments on the proposed LCD changes. The public comment period will end on March 2, 2024, and there will also be a public meeting held on February 22, 2024.

"This development is the result of years, if not decades, of tireless work by numerous stakeholders and manufacturers," said Adam Miller, President of OPGA. "It represents a truly meaningful impact for providers and the patients they serve." 

You can access the proposed changes and make a comment here.

This is a great step towards improving the care of K2 patients. We hope that this change will help improve the quality of life for many people.


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