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Home EDGE Direct Sponsored Story

Updated Fee Schedule for the Overlay TT and TF

by The O&P EDGE
April 8, 2026
in EDGE Direct Sponsored Story
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Ethnocare develops prosthetic solutions designed to improve socket fit, stability, and comfort for lower-limb amputees. With CMS assigning its first product, the Overlay, the new L-5657 code and a fee schedule of $306.32 effective April 1, 2026, US clinics now have a clear path to better patient outcomes.

At Ethnocare, our mission is to develop prosthetic solutions that improve comfort, fit, and confidence for people living with limb loss and limb difference. Our flagship product, the Overlay, is designed to help address one of the most persistent challenges in prosthetic care: residual limb volume fluctuation.

The Overlay is an air-based prosthetic insert for lower-limb amputees that helps manage volume changes throughout the day and improve socket fit. By helping fill space dynamically inside the socket, it offers a new approach to volume management beyond traditional prosthetic socks alone.

Today, we are proud to share an important reimbursement milestone for clinics across the United States.

CMS has officially assigned the Overlay TT and TF a dedicated HCPCS code, L-5657, with a fee schedule of $306.32, effective April 1, 2026. This is an important step because it confirms recognition of the Overlay as a distinct solution for limb volume management.

This also creates a more sustainable pathway for clinics to provide advanced limb volume management while supporting patient access.

Updated List Price

To further support patient and clinician access, Ethnocare has adjusted its Overlay TT and TF list price accordingly. We are especially proud of this step, as it helps make Overlay more accessible while supporting sustainable use in clinical practice.

Reach Your Local Distributor to Know More 

SPS and Hanger
Cascade
PEL
Empire Medical

Key Takeaway

For clinics, this means the Overlay now has a much clearer and predictable reimbursement pathway:

  • A dedicated HCPCS code
  • A defined fee schedule
  • Support for clinically justified dispensing and replacement practices

Just as importantly, L-5657 is independent of other HCPCS codes, meaning it can be billed alongside suspension systems, liners, socks, and other prosthetic components when medically necessary. This gives clinicians more flexibility to build the most appropriate solution for each patient.

At Ethnocare, we believe this is an important moment not only for clinicians, but also for patients who are looking for better options to manage limb volume changes in a practical, reimbursable way.

Get in Touch With Ethnocare

Clinicians and patients can connect directly with Ethnocare for support, sizing guidance, or any other request.

Reach us anytime at clinics@ethnocare.ca or by phone at +1 418 934 5669.

Follow Ethnocare for clinical updates, education, and real-world case insights

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Ethnocare remains committed to supporting clinicians and patients with practical tools, transparent guidance, and responsive, patient-centered solutions.

Stay Connected

Interested in prosthetics, events, and product developments? Subscribe to the Ethnocare newsletter. We regularly share clinical insights, research highlights, product updates, and real-world case learnings from the O&P community.

Subscribe to the Ethnocare Newsletter.

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