E0153 — Platform attachment, forearm crutch, each
HCPCS Level II E-code · short descriptor: “Forearm crutch platform atta”
- Code system
- HCPCS Level II
- Family
- E — Durable medical equipment
- Medicare coverage status
- Carrier judgment — coverage decided by the DME MAC
- 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 2026-10-25; 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 2026-10-25; 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.
E0153 Medicare fee schedule (October 2026)
NU — New purchase Inexpensive or routinely purchased
Medicare allowable ranges from $84.07 to $127.23 depending on state and rural status.
Former-CBA payment limits: ceiling $98.90 · floor $84.07
| State | Non-rural | Rural |
|---|---|---|
| AK | $118.19 | — |
| AL | $98.90 | — |
| AR | $98.90 | — |
| AZ | $94.26 | — |
| CA | $98.90 | — |
| CO | $85.24 | — |
| CT | $98.90 | — |
| DC | $98.90 | — |
| DE | $98.90 | — |
| FL | $84.07 | — |
| GA | $86.05 | — |
| HI | $126.45 | — |
| IA | $98.90 | — |
| ID | $98.90 | — |
| IL | $84.07 | — |
| IN | $98.90 | — |
| KS | $84.07 | — |
| KY | $98.90 | — |
| LA | $98.90 | — |
| MA | $84.07 | — |
| MD | $87.32 | — |
| ME | $84.07 | — |
| MI | $84.07 | — |
| MN | $89.85 | — |
| MO | $98.90 | — |
| MS | $98.90 | — |
| MT | $98.90 | — |
| NC | $98.90 | — |
| ND | $84.79 | — |
| NE | $84.30 | — |
| NH | $84.07 | — |
| NJ | $98.90 | — |
| NM | $88.01 | — |
| NV | $98.90 | — |
| NY | $98.90 | — |
| OH | $84.07 | — |
| OK | $88.01 | — |
| OR | $98.90 | — |
| PA | $98.90 | — |
| PR | $127.23 | — |
| RI | $84.07 | — |
| SC | $90.25 | — |
| SD | $84.79 | — |
| TN | $98.90 | — |
| TX | $98.90 | — |
| UT | $98.90 | — |
| VA | $84.07 | — |
| VI | $98.90 | — |
| VT | $84.07 | — |
| WA | $97.88 | — |
| WI | $98.90 | — |
| WV | $84.07 | — |
| WY | $98.90 | — |
RR — Monthly rental Inexpensive or routinely purchased
Medicare allowable ranges from $9.51 to $24.68 depending on state and rural status.
Former-CBA payment limits: ceiling $11.19 · floor $9.51
| State | Non-rural | Rural |
|---|---|---|
| AK | $23.12 | — |
| AL | $10.56 | — |
| AR | $10.30 | — |
| AZ | $11.19 | — |
| CA | $11.19 | — |
| CO | $11.19 | — |
| CT | $10.99 | — |
| DC | $11.19 | — |
| DE | $11.19 | — |
| FL | $9.51 | — |
| GA | $9.51 | — |
| HI | $24.68 | — |
| IA | $11.19 | — |
| ID | $11.19 | — |
| IL | $11.19 | — |
| IN | $11.19 | — |
| KS | $9.51 | — |
| KY | $11.19 | — |
| LA | $10.30 | — |
| MA | $9.51 | — |
| MD | $11.19 | — |
| ME | $9.51 | — |
| MI | $11.19 | — |
| MN | $11.19 | — |
| MO | $11.19 | — |
| MS | $10.44 | — |
| MT | $11.19 | — |
| NC | $11.19 | — |
| ND | $9.51 | — |
| NE | $9.51 | — |
| NH | $9.51 | — |
| NJ | $11.19 | — |
| NM | $9.51 | — |
| NV | $11.19 | — |
| NY | $10.34 | — |
| OH | $9.51 | — |
| OK | $9.51 | — |
| OR | $11.19 | — |
| PA | $11.19 | — |
| PR | $15.94 | — |
| RI | $9.51 | — |
| SC | $9.51 | — |
| SD | $9.51 | — |
| TN | $11.19 | — |
| TX | $11.19 | — |
| UT | $11.19 | — |
| VA | $10.54 | — |
| VI | $10.34 | — |
| VT | $9.51 | — |
| WA | $9.78 | — |
| WI | $11.19 | — |
| WV | $9.51 | — |
| WY | $11.19 | — |
UE — Used purchase Inexpensive or routinely purchased
Medicare allowable ranges from $63.03 to $95.45 depending on state and rural status.
Former-CBA payment limits: ceiling $74.15 · floor $63.03
| State | Non-rural | Rural |
|---|---|---|
| AK | $88.63 | — |
| AL | $74.15 | — |
| AR | $74.15 | — |
| AZ | $70.68 | — |
| CA | $74.15 | — |
| CO | $63.95 | — |
| CT | $74.15 | — |
| DC | $74.15 | — |
| DE | $74.15 | — |
| FL | $63.03 | — |
| GA | $64.49 | — |
| HI | $94.76 | — |
| IA | $74.15 | — |
| ID | $74.15 | — |
| IL | $63.03 | — |
| IN | $74.15 | — |
| KS | $63.03 | — |
| KY | $74.15 | — |
| LA | $74.15 | — |
| MA | $63.03 | — |
| MD | $65.50 | — |
| ME | $63.03 | — |
| MI | $63.03 | — |
| MN | $67.43 | — |
| MO | $74.15 | — |
| MS | $74.15 | — |
| MT | $74.15 | — |
| NC | $74.15 | — |
| ND | $63.56 | — |
| NE | $63.19 | — |
| NH | $63.03 | — |
| NJ | $74.15 | — |
| NM | $66.01 | — |
| NV | $74.15 | — |
| NY | $74.15 | — |
| OH | $63.03 | — |
| OK | $66.01 | — |
| OR | $74.15 | — |
| PA | $74.15 | — |
| PR | $95.45 | — |
| RI | $63.03 | — |
| SC | $67.71 | — |
| SD | $63.56 | — |
| TN | $74.15 | — |
| TX | $74.15 | — |
| UT | $74.15 | — |
| VA | $63.03 | — |
| VI | $74.15 | — |
| VT | $63.03 | — |
| WA | $73.42 | — |
| WI | $74.15 | — |
| WV | $63.03 | — |
| WY | $74.15 | — |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0153 at 2 units per date of service (absolute). Units above the MUE deny — typically as CO-151. Rationale: Anatomic Consideration.
Common denial codes to watch
Related E-codes
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