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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

StateNon-ruralRural
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

StateNon-ruralRural
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

StateNon-ruralRural
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
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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