E0111 — Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips
HCPCS Level II E-code · short descriptor: “Crutch forearm each”
- Code system
- HCPCS Level II
- Family
- E — Durable medical equipment
- Medicare coverage status
- Special coverage instructions apply
- DMEPOS payment category
- Inexpensive or routinely purchased
- Prior authorization
- Not on Medicare required-PA list
- Face-to-face & WOPD
- Not on the required list
- MUE unit limit
- 2
- Status
- Active (HCPCS Level II October 2026)
Prior authorization
Not on the Medicare required-PA list (CMS Required Prior Authorization List — 74 items in force on 2026-10-25; 8 more from 2026-10-28; sources: CMS list updated 2026-01-13, CMS-6109-N (91 FR 47972)). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.
Order readiness — what the written order must contain
Every Medicare DMEPOS claim needs a Standard Written Order with all six elements (42 CFR 410.38(d)):
- Beneficiary name or Medicare Beneficiary Identifier (MBI) (42 CFR 410.38(d)(1)(i)(A))
- General description of the item (42 CFR 410.38(d)(1)(i)(B))
- Quantity to be dispensed, if applicable (42 CFR 410.38(d)(1)(i)(C))
- Order date (42 CFR 410.38(d)(1)(i)(D))
- Treating practitioner name or NPI (42 CFR 410.38(d)(1)(i)(E))
- Treating practitioner signature (42 CFR 410.38(d)(1)(i)(F))
Not on the F2F/WOPD list (CMS Required F2F & WOPD List — 83 items in force on 2026-10-25; 22 more from 2026-10-28; sources: CMS list effective 2026-04-13 (91 FR 1250), CMS-6109-N (91 FR 47972)). The standard written order must reach the supplier before claim submission.
Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.
E0111 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $64.50 to $80.49 depending on state and rural status.
Former-CBA payment limits: ceiling $75.88 · floor $64.50
| State | Non-rural | Rural |
|---|---|---|
| AK | $75.25 | — |
| AL | $67.81 | — |
| AR | $75.88 | — |
| AZ | $64.50 | — |
| CA | $74.52 | — |
| CO | $73.37 | — |
| CT | $75.88 | — |
| DC | $75.88 | — |
| DE | $75.88 | — |
| FL | $64.50 | — |
| GA | $70.08 | — |
| HI | $80.49 | — |
| IA | $64.98 | — |
| ID | $64.50 | — |
| IL | $75.88 | — |
| IN | $75.88 | — |
| KS | $75.88 | — |
| KY | $64.50 | — |
| LA | $64.50 | — |
| MA | $75.88 | — |
| MD | $75.88 | — |
| ME | $75.88 | — |
| MI | $75.88 | — |
| MN | $68.25 | — |
| MO | $75.88 | — |
| MS | $64.50 | — |
| MT | $75.88 | — |
| NC | $64.50 | — |
| ND | $70.28 | — |
| NE | $72.81 | — |
| NH | $75.88 | — |
| NJ | $75.88 | — |
| NM | $75.88 | — |
| NV | $64.50 | — |
| NY | $72.22 | — |
| OH | $70.23 | — |
| OK | $75.88 | — |
| OR | $75.88 | — |
| PA | $75.88 | — |
| PR | $70.39 | — |
| RI | $75.88 | — |
| SC | $70.04 | — |
| SD | $70.28 | — |
| TN | $64.50 | — |
| TX | $64.50 | — |
| UT | $75.88 | — |
| VA | $75.88 | — |
| VI | $72.22 | — |
| VT | $75.88 | — |
| WA | $75.88 | — |
| WI | $75.88 | — |
| WV | $68.97 | — |
| WY | $75.78 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $8.81 to $17.00 depending on state and rural status.
Former-CBA payment limits: ceiling $12.02 · floor $10.22
| State | Non-rural | Rural |
|---|---|---|
| AK | $15.92 | — |
| AL | $10.22 | — |
| AR | $12.02 | — |
| AZ | $12.02 | — |
| CA | $12.02 | — |
| CO | $10.22 | — |
| CT | $12.02 | — |
| DC | $12.02 | — |
| DE | $12.02 | — |
| FL | $10.24 | — |
| GA | $10.22 | — |
| HI | $17.00 | — |
| IA | $10.22 | — |
| ID | $10.22 | — |
| IL | $12.02 | — |
| IN | $10.22 | — |
| KS | $10.22 | — |
| KY | $12.02 | — |
| LA | $10.22 | — |
| MA | $12.02 | — |
| MD | $12.02 | — |
| ME | $12.02 | — |
| MI | $10.97 | — |
| MN | $12.02 | — |
| MO | $12.00 | — |
| MS | $10.22 | — |
| MT | $10.22 | — |
| NC | $10.22 | — |
| ND | $10.22 | — |
| NE | $10.22 | — |
| NH | $12.02 | — |
| NJ | $11.87 | — |
| NM | $10.22 | — |
| NV | $12.02 | — |
| NY | $10.22 | — |
| OH | $12.02 | — |
| OK | $12.02 | — |
| OR | $12.02 | — |
| PA | $12.02 | — |
| PR | $8.81 | — |
| RI | $12.02 | — |
| SC | $10.22 | — |
| SD | $10.22 | — |
| TN | $10.22 | — |
| TX | $10.22 | — |
| UT | $12.02 | — |
| VA | $12.02 | — |
| VI | $10.22 | — |
| VT | $12.02 | — |
| WA | $12.02 | — |
| WI | $12.02 | — |
| WV | $12.02 | — |
| WY | $10.22 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $49.80 to $60.35 depending on state and rural status.
Former-CBA payment limits: ceiling $58.59 · floor $49.80
| State | Non-rural | Rural |
|---|---|---|
| AK | $56.47 | — |
| AL | $50.86 | — |
| AR | $58.52 | — |
| AZ | $49.80 | — |
| CA | $55.91 | — |
| CO | $58.59 | — |
| CT | $58.59 | — |
| DC | $58.59 | — |
| DE | $58.59 | — |
| FL | $49.80 | — |
| GA | $52.60 | — |
| HI | $60.35 | — |
| IA | $49.80 | — |
| ID | $49.80 | — |
| IL | $58.59 | — |
| IN | $58.59 | — |
| KS | $58.59 | — |
| KY | $49.80 | — |
| LA | $49.80 | — |
| MA | $58.59 | — |
| MD | $58.59 | — |
| ME | $58.59 | — |
| MI | $58.59 | — |
| MN | $51.18 | — |
| MO | $58.59 | — |
| MS | $49.80 | — |
| MT | $58.59 | — |
| NC | $49.80 | — |
| ND | $52.73 | — |
| NE | $54.63 | — |
| NH | $58.59 | — |
| NJ | $58.59 | — |
| NM | $57.43 | — |
| NV | $49.80 | — |
| NY | $54.11 | — |
| OH | $57.35 | — |
| OK | $56.92 | — |
| OR | $58.59 | — |
| PA | $58.59 | — |
| PR | $52.80 | — |
| RI | $58.59 | — |
| SC | $52.54 | — |
| SD | $52.73 | — |
| TN | $49.80 | — |
| TX | $49.80 | — |
| UT | $58.59 | — |
| VA | $58.59 | — |
| VI | $54.11 | — |
| VT | $58.59 | — |
| WA | $58.59 | — |
| WI | $58.59 | — |
| WV | $58.59 | — |
| WY | $58.59 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0111 at 2 units per date of service (absolute). Units above the MUE deny — typically as CO-151. Rationale: Code Descriptor / CPT Instruction.
Common denial codes to watch
Related E-codes
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