Medicare local coverage
Medicare coverage for Lower Limb Prostheses (LCD)
2 Medicare Administrative Contractors publish a local coverage determination (LCD) for Lower Limb Prostheses. The snapshot lists 1 LCD record: 1 active.
An LCD applies only in the jurisdiction of the contractor that wrote it. Two contractors can cover the same service with different criteria, documentation requirements and covered diagnoses, so check the LCD from the contractor that processes your claims.
LCDs by contractor
| Contractor | LCD | Status | Last updated |
|---|---|---|---|
CGS Administrators, LLCDME MAC Noridian Healthcare Solutions, LLCDME MAC | L33787 | Active | Apr 2, 2026 |
An LCD marked Future has been finalized and is in its notice period; it applies from the effective date shown. LCD IDs link to the record on cms.gov.
Check claim lines against Medicare coverage
Coverage Check tells you whether a claim's diagnoses support Medicare LCD or NCD coverage for each procedure line, and shows the policy and CMS source behind each answer.
Related LCD topics
- Application of Bioengineered Skin Substitutes to Lower Extremity Chronic Non-Healing Wounds
- Application of Skin Substitute Grafts for Treatment of DFU and VLU of Lower Extremities
- Duplex Scan Of Lower Extremity Arteries
- Endovascular Management for Peripheral Arterial Disease of the Upper and Lower Extremities
- External Breast Prostheses
- External Upper Limb Tremor Stimulator Therapy
All Medicare LCD topics · National coverage determinations · Payer policies by payer
Source: CMS Medicare Coverage Database, via the public CMS Coverage API, snapshot Oct 25, 2026. LCDs change between snapshots; confirm the version in effect for your date of service on cms.gov before billing.