MyMedi-AI

E0112 — Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips

HCPCS Level II E-code · short descriptor: “Crutch underarm pair wood”

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
1
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.

E0112 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $44.83 to $63.92 depending on state and rural status.

Former-CBA payment limits: ceiling $52.74 · floor $44.83

StateNon-ruralRural
AK$59.76—
AL$44.83—
AR$52.74—
AZ$44.83—
CA$52.74—
CO$52.24—
CT$52.74—
DC$52.74—
DE$52.74—
FL$44.83—
GA$44.83—
HI$63.92—
IA$52.74—
ID$52.74—
IL$52.74—
IN$47.84—
KS$51.12—
KY$52.74—
LA$52.74—
MA$44.83—
MD$52.74—
ME$44.83—
MI$44.83—
MN$52.74—
MO$52.74—
MS$52.74—
MT$52.74—
NC$47.91—
ND$51.47—
NE$52.74—
NH$44.83—
NJ$52.74—
NM$44.83—
NV$47.21—
NY$52.74—
OH$47.52—
OK$52.74—
OR$52.74—
PA$52.74—
PR$63.82—
RI$44.83—
SC$44.83—
SD$51.47—
TN$44.83—
TX$52.74—
UT$52.74—
VA$44.83—
VI$52.74—
VT$44.83—
WA$52.74—
WI$44.83—
WV$47.82—
WY$52.74—

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $7.97 to $28.96 depending on state and rural status.

Former-CBA payment limits: ceiling $14.17 · floor $12.04

StateNon-ruralRural
AK$27.06—
AL$12.04—
AR$14.17—
AZ$14.17—
CA$14.17—
CO$14.17—
CT$14.17—
DC$14.17—
DE$14.17—
FL$12.04—
GA$12.04—
HI$28.96—
IA$12.04—
ID$14.17—
IL$14.17—
IN$12.04—
KS$14.17—
KY$12.43—
LA$12.04—
MA$12.04—
MD$14.17—
ME$12.04—
MI$14.17—
MN$14.17—
MO$14.17—
MS$12.04—
MT$14.04—
NC$12.04—
ND$12.04—
NE$14.17—
NH$12.04—
NJ$12.04—
NM$12.04—
NV$14.17—
NY$12.04—
OH$14.17—
OK$12.04—
OR$14.17—
PA$14.17—
PR$7.97—
RI$14.17—
SC$12.04—
SD$12.04—
TN$12.04—
TX$12.04—
UT$14.17—
VA$14.17—
VI$12.04—
VT$12.04—
WA$14.17—
WI$12.04—
WV$14.17—
WY$14.17—

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $34.20 to $47.93 depending on state and rural status.

Former-CBA payment limits: ceiling $40.23 · floor $34.20

StateNon-ruralRural
AK$44.85—
AL$34.20—
AR$40.23—
AZ$34.20—
CA$40.23—
CO$39.16—
CT$40.23—
DC$40.23—
DE$40.23—
FL$34.20—
GA$34.20—
HI$47.93—
IA$40.23—
ID$40.23—
IL$40.23—
IN$35.84—
KS$36.14—
KY$39.63—
LA$40.23—
MA$34.20—
MD$40.23—
ME$34.20—
MI$34.20—
MN$40.23—
MO$40.23—
MS$40.23—
MT$40.23—
NC$35.89—
ND$38.59—
NE$36.73—
NH$34.20—
NJ$40.23—
NM$34.20—
NV$35.39—
NY$40.23—
OH$37.36—
OK$40.23—
OR$40.23—
PA$40.23—
PR$47.88—
RI$34.20—
SC$34.20—
SD$38.59—
TN$34.20—
TX$40.23—
UT$40.23—
VA$40.23—
VI$40.23—
VT$34.20—
WA$40.23—
WI$40.23—
WV$35.83—
WY$40.23—
Amounts are the Medicare DMEPOS fee-schedule allowables effective October 2026 (CMS DMEPOS Fee Schedule October 2026 (DME26-D)). Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%. A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area adjustments and non-continental rates can differ — verify with your DME MAC.

Unit limit (MUE)

Medicare's Medically Unlikely Edit caps E0112 at 1 unit 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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