E0116 — Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each
HCPCS Level II E-code · short descriptor: “Crutch underarm each 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
- 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.
E0116 Medicare fee schedule (April 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $33.62 to $44.38 depending on state and rural status.
Former-CBA payment limits: ceiling $39.55 · floor $33.62
| State | Non-rural | Rural |
|---|---|---|
| AK | $33.93 | — |
| AL | $33.62 | — |
| AR | $39.55 | — |
| AZ | $33.62 | — |
| CA | $33.62 | — |
| CO | $33.62 | — |
| CT | $35.31 | — |
| DC | $33.90 | — |
| DE | $33.90 | — |
| FL | $33.62 | — |
| GA | $33.62 | — |
| HI | $36.29 | — |
| IA | $33.62 | — |
| ID | $39.55 | — |
| IL | $39.55 | — |
| IN | $34.18 | — |
| KS | $39.55 | — |
| KY | $33.89 | — |
| LA | $39.55 | — |
| MA | $39.55 | — |
| MD | $39.55 | — |
| ME | $39.55 | — |
| MI | $39.55 | — |
| MN | $36.27 | — |
| MO | $39.55 | — |
| MS | $37.51 | — |
| MT | $39.55 | — |
| NC | $33.62 | — |
| ND | $39.55 | — |
| NE | $39.55 | — |
| NH | $39.55 | — |
| NJ | $33.90 | — |
| NM | $39.55 | — |
| NV | $33.62 | — |
| NY | $33.62 | — |
| OH | $33.62 | — |
| OK | $39.55 | — |
| OR | $39.55 | — |
| PA | $39.55 | — |
| PR | $44.38 | — |
| RI | $39.55 | — |
| SC | $39.55 | — |
| SD | $39.55 | — |
| TN | $33.62 | — |
| TX | $33.62 | — |
| UT | $34.49 | — |
| VA | $39.55 | — |
| VI | $33.62 | — |
| VT | $39.55 | — |
| WA | $33.93 | — |
| WI | $39.55 | — |
| WV | $33.62 | — |
| WY | $39.55 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $5.58 to $7.72 depending on state and rural status.
Former-CBA payment limits: ceiling $7.72 · floor $6.56
| State | Non-rural | Rural |
|---|---|---|
| AK | $6.98 | — |
| AL | $6.56 | — |
| AR | $7.72 | — |
| AZ | $7.64 | — |
| CA | $6.91 | — |
| CO | $7.72 | — |
| CT | $6.56 | — |
| DC | $7.72 | — |
| DE | $7.72 | — |
| FL | $6.56 | — |
| GA | $6.56 | — |
| HI | $7.44 | — |
| IA | $6.56 | — |
| ID | $6.56 | — |
| IL | $7.72 | — |
| IN | $6.56 | — |
| KS | $7.72 | — |
| KY | $6.56 | — |
| LA | $6.56 | — |
| MA | $6.56 | — |
| MD | $7.72 | — |
| ME | $6.56 | — |
| MI | $6.56 | — |
| MN | $7.72 | — |
| MO | $7.72 | — |
| MS | $6.56 | — |
| MT | $7.72 | — |
| NC | $6.56 | — |
| ND | $7.72 | — |
| NE | $7.72 | — |
| NH | $6.56 | — |
| NJ | $7.72 | — |
| NM | $6.56 | — |
| NV | $7.72 | — |
| NY | $7.72 | — |
| OH | $7.72 | — |
| OK | $6.56 | — |
| OR | $7.72 | — |
| PA | $7.72 | — |
| PR | $5.58 | — |
| RI | $7.72 | — |
| SC | $6.56 | — |
| SD | $7.72 | — |
| TN | $6.56 | — |
| TX | $6.56 | — |
| UT | $6.56 | — |
| VA | $7.72 | — |
| VI | $7.72 | — |
| VT | $6.56 | — |
| WA | $7.72 | — |
| WI | $7.72 | — |
| WV | $7.72 | — |
| WY | $7.72 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $25.30 to $33.26 depending on state and rural status.
Former-CBA payment limits: ceiling $29.76 · floor $25.30
| State | Non-rural | Rural |
|---|---|---|
| AK | $25.45 | — |
| AL | $25.30 | — |
| AR | $29.76 | — |
| AZ | $25.30 | — |
| CA | $25.30 | — |
| CO | $25.30 | — |
| CT | $26.50 | — |
| DC | $25.41 | — |
| DE | $25.41 | — |
| FL | $25.30 | — |
| GA | $25.30 | — |
| HI | $27.22 | — |
| IA | $25.30 | — |
| ID | $29.76 | — |
| IL | $29.76 | — |
| IN | $25.66 | — |
| KS | $29.76 | — |
| KY | $25.41 | — |
| LA | $29.76 | — |
| MA | $29.76 | — |
| MD | $29.76 | — |
| ME | $29.76 | — |
| MI | $29.76 | — |
| MN | $27.21 | — |
| MO | $29.76 | — |
| MS | $29.76 | — |
| MT | $29.76 | — |
| NC | $25.30 | — |
| ND | $29.76 | — |
| NE | $29.76 | — |
| NH | $29.76 | — |
| NJ | $25.41 | — |
| NM | $29.76 | — |
| NV | $25.30 | — |
| NY | $25.30 | — |
| OH | $25.30 | — |
| OK | $29.76 | — |
| OR | $29.76 | — |
| PA | $29.74 | — |
| PR | $33.26 | — |
| RI | $29.76 | — |
| SC | $29.76 | — |
| SD | $29.76 | — |
| TN | $25.30 | — |
| TX | $25.30 | — |
| UT | $25.91 | — |
| VA | $29.76 | — |
| VI | $25.30 | — |
| VT | $29.76 | — |
| WA | $25.42 | — |
| WI | $29.76 | — |
| WV | $25.30 | — |
| WY | $29.76 | — |
Common denial codes to watch
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