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Above-Knee (Transfemoral) Prosthesis
✓ Medicare Part B Covered
✓ Verified Equipment
● Available Now
A above-knee prosthetic limb with socket, prosthetic knee unit, and prosthetic foot for transfemoral amputees.
Medicare HCPCS Billing Code
L5200
Medicare Part B Coverage
Medically necessary DME — covered when prescribed by your doctor
Annual Deductible
$240 (2024)
Medicare Pays
80% of approved amount
Your Cost
20% (may be $0 with supplement)
Medicare Coverage for Above-Knee (Transfemoral) Prosthesis
Above-Knee (Transfemoral) Prosthesis is covered by Medicare Part B as durable medical equipment (DME) when medically necessary. Your doctor must prescribe the equipment and you must purchase it from a Medicare-enrolled supplier.
Medicare covers transfemoral prosthetics at K-level 2+. Microprocessor knee units require K-level 3+ with specific activity requirements.
What You'll Pay
- 1 Meet your Medicare Part B deductible ($240 in 2024)
- 2 Medicare pays 80% of the approved amount
- 3 You pay the remaining 20% — may be $0 with a Medicare Supplement plan