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
- 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 2026-10-27; 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 2026-10-27; 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.
E0113 Medicare fee schedule (October 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
| State | Non-rural | Rural |
|---|---|---|
| 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
| State | Non-rural | Rural |
|---|---|---|
| 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
| State | Non-rural | Rural |
|---|---|---|
| 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 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0113 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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