Prosthetics & Orthotics policy updates
Track new and updated Prosthetics & Orthotics policies impacting reimbursement and clinical operations.
| Policy | Payer | Type | Specialty | Change | Effective |
|---|---|---|---|---|---|
| Myoelectric Prosthetic and Orthotic Components for the Upper Limb | Blue Cross Blue Shield - Rhode Island | Clinical | Prosthetics & Orthotics | Modified | Aug 1, 2026 |
| Microprocessor-Controlled Prostheses for the Lower Limb | Blue Cross Blue Shield - Rhode Island | Clinical | Prosthetics & Orthotics | Modified | Jan 7, 2026 |
| Microprocessor-Controlled Prostheses for the Lower Limb | Blue Cross Blue Shield - Rhode Island | Clinical | Prosthetics & Orthotics | Modified | Jan 7, 2026 |
| Microprocessor-Controlled Prostheses for the Lower Limb (Coverage Criteria for L5615) | Blue Cross Blue Shield - Rhode Island | Clinical | Prosthetics & Orthotics | Modified | Jan 11, 2025 |
| Microprocessor-Controlled Prostheses for the Lower Limb (Commercial Products) | Blue Cross Blue Shield - Rhode Island | Clinical | Prosthetics & Orthotics | Modified | Jan 11, 2025 |
| Microprocessor-Controlled Prostheses for the Lower Limb (L5615) | Blue Cross Blue Shield - Rhode Island | Clinical | Prosthetics & Orthotics | Modified | Jan 1, 2023 |
| Myoelectric Controlled Upper-Limb Orthoses Coverage Policy | Blue Cross Blue Shield - Rhode Island | Clinical | Prosthetics & Orthotics | Modified | Sep 21, 2022 |
| Myoelectric Controlled Upper-Limb Orthoses Coverage Policy | Blue Cross Blue Shield - Rhode Island | Clinical | Prosthetics & Orthotics | Modified | Sep 21, 2022 |
| Orthotic and Prosthetic Services Mandate | Blue Cross Blue Shield - Rhode Island | Clinical | Prosthetics & Orthotics | Modified | Feb 11, 2006 |
OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.
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Coverage data is sourced from publicly available payer medical policy documents and updated as payers publish revisions. Read more about where our data comes from. Always consult the primary payer source for clinical decision-making.