As of 2026, the MyoPro is covered for eligible patients under Medicare Part B and an expanding list of commercial insurers. Coverage is based on medical necessity criteria for individuals with chronic upper limb weakness who meet specific functional criteria.
What to Expect: The Path to Approval
Navigating insurance is a structured process, and Myomo's reimbursement team works closely with both patients and your clinical providers:
- Clinical Documentation Your medical team provides evidence of your diagnosis and the presence of detectable muscle signals.
- HCPCS Coding The device is billed under specific medical codes: L8701 (Motion W) or L8702 (Motion G).
- The "Prior Auth" Step While Medicare Part B may not require prior authorization in all cases, many Medicare Advantage and commercial plans may require approval before fabrication begins.
- Authorization and Fabrication If the payer determines the device meets medical necessity criteria for activities of daily living (ADLs), the fabrication process can proceed.
Who This Is For (And Who It's Not)
Included
Medicare Part B beneficiaries, Veterans (VA), and those with commercial plans that have applicable medical policies for myoelectric orthoses.
Excluded
Individuals with fixed contractures (joints that cannot be moved manually) or those whose current coverage does not include applicable benefits. Clinical evaluation is required to determine suitability.
Frequently Asked Questions
Does Medicare Part B cover MyoPro in 2026?
Medicare Part B may cover MyoPro when billed under codes L8701 or L8702 for eligible patients who meet medical necessity criteria.
Which commercial insurers have established policies for MyoPro?
Some commercial insurers have established policies for myoelectric orthoses. We recommend a benefits verification to confirm coverage under your specific plan.
What is the difference between L8701 and L8702?
L8701 refers to the MyoPro Motion W elbow and wrist configuration, while L8702 refers to the MyoPro Motion G (Grasp/Wrist/Elbow).
Citations and Primary Sources
- Current Medicare Fee Schedule: Guidance on reimbursement and coding.
- CMS Coding Guidance: Standardized billing for L8701 and L8702.