Final LCD to Expand Coverage
for MPKs for K-2 Medicare Beneficiaries

CMS and DME MAC released the final local coverage determination to take effect on September 1, 2024.

The Centers for Medicare and Medicaid Services (“CMS”) and the Durable Medical Equipment Medicare Administrative Contractor (“DME MAC”) Medical Directors released the much-anticipated final Local Coverage Determination (“LCD”) L33787 Lower Limb Prostheses.

The final LCD expands the coverage criteria for microprocessor-controlled prosthetic knees (“MPKs”)—including fluid and pneumatic knees—for Medicare Functional Classification Level (“MFCL”) 2 beneficiaries, individuals with lower limb loss who are considered limited community ambulators and require a prosthetic knee based on the best available evidence.
The effective date for this final LCD is September 1, 2024.