MyMedi-AI

E0114 — Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips

HCPCS Level II E-code · short descriptor: “Crutch underarm pair no 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 2026-10-26; 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 2026-10-26; 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.

E0114 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $57.17 to $88.73 depending on state and rural status.

Former-CBA payment limits: ceiling $67.26 · floor $57.17

StateNon-ruralRural
AK$67.91—
AL$57.17—
AR$67.26—
AZ$57.17—
CA$67.26—
CO$67.26—
CT$57.17—
DC$67.26—
DE$67.26—
FL$59.35—
GA$57.17—
HI$72.59—
IA$63.41—
ID$61.28—
IL$67.26—
IN$67.26—
KS$67.26—
KY$62.91—
LA$67.26—
MA$57.17—
MD$67.26—
ME$57.17—
MI$61.40—
MN$66.42—
MO$67.26—
MS$67.26—
MT$67.26—
NC$57.17—
ND$67.26—
NE$67.26—
NH$57.17—
NJ$67.26—
NM$57.17—
NV$57.17—
NY$62.68—
OH$57.17—
OK$67.26—
OR$67.26—
PA$67.26—
PR$88.73—
RI$67.26—
SC$67.26—
SD$67.26—
TN$65.92—
TX$58.68—
UT$67.26—
VA$59.09—
VI$62.68—
VT$57.17—
WA$63.41—
WI$67.26—
WV$57.17—
WY$67.26—

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $10.38 to $14.90 depending on state and rural status.

Former-CBA payment limits: ceiling $12.21 · floor $10.38

StateNon-ruralRural
AK$13.96—
AL$10.38—
AR$10.38—
AZ$12.21—
CA$12.21—
CO$12.21—
CT$10.38—
DC$12.21—
DE$12.21—
FL$10.38—
GA$10.38—
HI$14.90—
IA$10.38—
ID$12.21—
IL$12.21—
IN$10.38—
KS$12.21—
KY$10.38—
LA$11.89—
MA$10.38—
MD$12.21—
ME$10.38—
MI$12.21—
MN$12.21—
MO$12.21—
MS$10.38—
MT$12.21—
NC$10.38—
ND$10.38—
NE$12.21—
NH$10.38—
NJ$12.21—
NM$10.38—
NV$12.21—
NY$11.01—
OH$12.21—
OK$10.38—
OR$12.21—
PA$12.21—
PR$11.09—
RI$12.21—
SC$10.38—
SD$10.38—
TN$10.38—
TX$10.38—
UT$10.38—
VA$12.21—
VI$11.01—
VT$10.38—
WA$12.21—
WI$12.21—
WV$12.21—
WY$12.21—

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $43.22 to $66.58 depending on state and rural status.

Former-CBA payment limits: ceiling $50.85 · floor $43.22

StateNon-ruralRural
AK$50.98—
AL$43.22—
AR$50.85—
AZ$43.22—
CA$50.43—
CO$50.85—
CT$43.22—
DC$50.85—
DE$50.85—
FL$44.48—
GA$43.22—
HI$54.48—
IA$47.58—
ID$45.98—
IL$50.85—
IN$50.85—
KS$50.85—
KY$47.24—
LA$50.85—
MA$43.22—
MD$50.85—
ME$43.22—
MI$46.06—
MN$49.79—
MO$50.85—
MS$50.85—
MT$50.85—
NC$43.22—
ND$50.85—
NE$50.85—
NH$43.22—
NJ$50.85—
NM$43.22—
NV$43.22—
NY$47.53—
OH$43.22—
OK$50.85—
OR$50.85—
PA$50.85—
PR$66.58—
RI$50.85—
SC$50.85—
SD$50.85—
TN$49.44—
TX$44.00—
UT$50.85—
VA$44.38—
VI$47.53—
VT$43.22—
WA$47.58—
WI$50.85—
WV$50.85—
WY$50.85—
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 E0114 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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