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Response to Comments: Lower Limb Prostheses - DL33787
A59857
Noridian Healthcare Solutions, LLC (J19)
Effective: July 18, 2024
Updated: December 31, 2025
Policy Summary
This document is a response-to-comments for the proposed Lower Limb Prostheses LCD (DL33787) and describes that final coverage determinations are grounded in published clinical evidence per CMS Program Integrity Manual Chapter 13. It notes a 45-day public comment period (Jan 18–Mar 2, 2024) with 86 commenters and that DME MACs may consolidate or redact portions of submissions; no specific clinical coverage criteria or limits are specified in this response document.
Coverage Criteria Preview
Key requirements from the full policy
"Final policy decisions are based on available evidence of general acceptance by the medical community, including published original research, systematic reviews, meta-analyses, evidence-based conse..."
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