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E0113 — Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip

HCPCS Level II E-code · short descriptor: “Crutch underarm each 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
Status
Active (April 2026 HCPCS)

Prior authorization

Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.

E0113 Medicare fee schedule (April 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $25.61 to $55.77 depending on state and rural status.

Former-CBA payment limits: ceiling $30.13 · floor $25.61

StateNon-ruralRural
AK$52.15
AL$25.61
AR$29.43
AZ$25.61
CA$30.13
CO$26.12
CT$28.28
DC$30.13
DE$30.13
FL$25.61
GA$25.61
HI$55.77
IA$27.82
ID$30.13
IL$30.13
IN$25.61
KS$25.61
KY$26.46
LA$28.00
MA$30.13
MD$30.13
ME$30.13
MI$30.13
MN$30.13
MO$30.13
MS$30.13
MT$25.61
NC$25.61
ND$30.13
NE$25.61
NH$30.13
NJ$30.13
NM$30.13
NV$25.61
NY$30.13
OH$25.61
OK$30.13
OR$30.13
PA$30.13
PR$31.89
RI$30.13
SC$25.61
SD$30.13
TN$25.61
TX$26.09
UT$25.61
VA$29.58
VI$30.13
VT$30.13
WA$30.13
WI$25.61
WV$25.61
WY$30.13

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $4.00 to $18.28 depending on state and rural status.

Former-CBA payment limits: ceiling $7.32 · floor $6.22

StateNon-ruralRural
AK$17.07
AL$6.22
AR$6.22
AZ$7.32
CA$7.32
CO$7.32
CT$7.32
DC$7.32
DE$7.32
FL$6.22
GA$6.22
HI$18.28
IA$6.22
ID$6.22
IL$7.32
IN$6.22
KS$7.32
KY$6.22
LA$6.22
MA$7.32
MD$7.32
ME$7.32
MI$6.22
MN$6.22
MO$7.32
MS$6.22
MT$7.32
NC$6.22
ND$6.22
NE$7.32
NH$7.32
NJ$7.32
NM$6.22
NV$7.32
NY$7.32
OH$7.32
OK$6.22
OR$6.22
PA$7.32
PR$4.00
RI$7.32
SC$6.22
SD$6.22
TN$6.22
TX$6.22
UT$6.22
VA$7.32
VI$7.32
VT$7.32
WA$6.22
WI$7.32
WV$7.32
WY$6.22

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $19.20 to $41.46 depending on state and rural status.

Former-CBA payment limits: ceiling $22.59 · floor $19.20

StateNon-ruralRural
AK$38.72
AL$19.20
AR$22.09
AZ$19.20
CA$22.59
CO$19.64
CT$21.13
DC$22.59
DE$22.59
FL$19.20
GA$19.20
HI$41.46
IA$20.86
ID$22.59
IL$22.59
IN$19.20
KS$19.20
KY$19.86
LA$21.01
MA$22.59
MD$22.59
ME$22.59
MI$22.59
MN$22.59
MO$22.59
MS$22.59
MT$19.20
NC$19.20
ND$22.59
NE$19.20
NH$22.59
NJ$22.59
NM$22.59
NV$19.20
NY$22.59
OH$19.20
OK$22.59
OR$22.59
PA$22.59
PR$23.96
RI$22.59
SC$19.20
SD$22.59
TN$19.20
TX$19.60
UT$19.20
VA$22.09
VI$22.59
VT$22.59
WA$22.59
WI$19.20
WV$19.20
WY$22.59
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026. 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.

Common denial codes to watch

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