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
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
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.

