Skip to Main Content

Print | Bookmark | Font Size: + |

October 23, 2025

LCD and Policy Article Revisions Summary for October 23, 2025

Joint DME MAC Publication

Outlined below are the principal changes to the DME MAC Local Coverage Determination (LCD) and Policy Article (PA) that have been revised and posted. The policy included is Lower Limb Prostheses. Please review the entire LCD and PA for complete information.

Lower Limb Prostheses

LCD

Lower Limb Prostheses LCDExternal Website

Revision Effective Date: 10/01/2025

HCPCS CODES:

  • Added: HCPCS code L5657
  • Revised: Long descriptions of HCPCS codes L5673, L5679, and L5783

10/23/2025: Pursuant to the 21st Century Cures Act, these revisions do not require notice and comment because the revisions are non-discretionary updates per CMS HCPCS coding determinations.

PA

Lower Limb Prostheses PAExternal Website

Revision Effective Date: 10/01/2025

CODING GUIDELINES:

  • Added: HCPCS code L5657 coding guideline information
  • Added: "HCPCS code may include the lamination kit." to HCPCS code L5783 coding guideline information

10/23/2025: At this time 21st Century Cures Act applies to new and revised LCDs which require comment and notice. This revision is to an article that is not a local coverage determination.

Note: The information contained in this article is only a summary of revisions to the LCDs and/or PAs. For complete information on any topic, you must review the LCDs and/or PAs.

spacer

26 Century Blvd Ste ST610, Nashville, TN 37214-3685 © CGS Administrators, LLC. All Rights Reserved