Lower Limb Prostheses
National · Effective Apr 1, 2026
1 active Medicare policy lists L5857, and 11 commercial payer policies list it. See each policy's status for the code and its official source. Listing a code is not a coverage decision: read each policy’s source for the requirements that apply.
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National · Effective Apr 1, 2026
11 policies from 11 payers
Summary of the payer’s published policy. Not a coverage determination — confirm with the payer before submitting.
| Policy | Effective | Status of L5857 |
|---|---|---|
| Lower Limb Prostheses | Feb 19, 2024 | Covered |
| Policy | Effective | Status of L5857 |
|---|---|---|
| CG-OR-PR-08 Microprocessor Controlled Lower Limb Prosthesis | Oct 1, 2025 | Covered |
| Policy | Effective | Status of L5857 |
|---|---|---|
| Lower-Limb Prosthetics, Including Microprocessor-Controlled Prosthetics | Jan 1, 2026 | Covered |
| Policy | Effective | Status of L5857 |
|---|---|---|
| Lower-Limb Prosthetics, Including Microprocessor-Controlled Prosthetics | Jan 1, 2026 | Covered |
| Policy | Effective | Status of L5857 |
|---|---|---|
| Lower-Limb Prosthetics, Including Microprocessor-Controlled Prosthetics | Jan 1, 2026 | Covered |
| Policy | Effective | Status of L5857 |
|---|---|---|
| Lower-Limb Prosthetics, Including Microprocessor-Controlled Prosthetics | Jan 1, 2026 | Covered |
| Policy | Effective | Status of L5857 |
|---|---|---|
| Prosthetics | Sep 1, 2026 | Covered |
| Policy | Effective | Status of L5857 |
|---|---|---|
| Powered and Microprocessor-Controlled Knee and Ankle-Foot Prostheses and Microprocessor-Controlled Knee-Ankle-Foot Orthoses | Apr 1, 2026 | Covered |
| Policy | Effective | Status of L5857 |
|---|---|---|
| Lower Extremity Prosthetics | Apr 1, 2026 | Covered |
| Policy | Effective | Status of L5857 |
|---|---|---|
| Lower Extremity Prosthetics | Apr 1, 2026 | Covered |
| Policy | Effective | Status of L5857 |
|---|---|---|
| Lower Extremity Prosthetics | Apr 1, 2026 | Covered |