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HCPCS E0114: Underarm Crutches, Non-Wood, Pair, Adjustable or Fixed

HCPCS Level II code E0114 designates a pair of underarm crutches made of non-wood materials, either adjustable or fixed, supplied with pads, tips and handgrips. As a Durable Medical Equipment (DME) item commonly used to support patient mobility after injury, surgery, or for chronic ambulatory limitations, this code matters nationally because it governs coverage decisions, billing compliance, and patient access to basic mobility aids across payers. Key payers discussed in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare and Medicare. Readers will find a concise overview of what E0114 represents clinically and operationally, typical sites of service, and which payers commonly cover such DME items. The publication summarizes benchmarking contexts and policy considerations affecting DME billing — including prior authorization trends, documentation expectations, and common reimbursement structures — and provides practical reference points for coding and claims submission. Where specific payer policy details or utilization data are not provided in the input, the text notes that data is not available. This national-level summary is intended to help billing managers, DME suppliers, and compliance teams quickly understand the role of E0114 in ambulatory mobility equipment billing and payer interactions.

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Billing Code Overview

HCPCS Level II code E0114 describes a pair of underarm crutches made of materials other than wood, either adjustable or fixed, supplied with pads, tips and handgrips. The service type is durable medical equipment (DME) — ambulation/orthotic device, and the typical site of service is outpatient DME suppliers, orthotics/prosthetics shops, inpatient hospital discharge supply, or home medical equipment delivery. Data not available in the input.

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HCPCS E0114: Underarm Crutches, Non-Wood, Pair, Adjustable or Fixed

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Billing Code Overview

Clinical & Coding Specifications

Clinical Context

A typical patient is a middle-aged adult who sustained a lower-extremity injury (e.g., ankle fracture, tibia fracture, sprain) requiring temporary partial or non–weight-bearing ambulation. The provider prescribes a pair of adjustable underarm crutches described by E0114 to provide stable gait assistance while protecting the affected limb. The clinical workflow begins with an evaluation by an orthopedist, emergency physician, or primary care provider who documents the diagnosis, weight-bearing status, and medical necessity for crutches. A durable medical equipment (DME) supplier verifies the prescription, obtains patient demographics and insurance information, and checks prior authorization requirements from payors such as Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, BUCA, or Medicare. The supplier delivers the crutches, provides patient education on height adjustment, pad and grip positioning, safe ambulation techniques, and documents delivery and training in the patient record. Follow-up occurs at the orthopedic clinic to reassess mobility needs and modify or discontinue the device when the patient progresses to full weight bearing or uses alternative mobility aids.

Coding Specifications

Modifier	Description	When to Use
`LT`	Left side	Use when the device is provided specifically for predominant left-side impairment or when payor requires laterality reporting for bilateral services.
`RT`	Right side	Use when the device is provided specifically for predominant right-side impairment or when payor requires laterality reporting for bilateral services.
`GA`	Waiver of liability statement on file, no signed ABN on file	Use when a Medicare coverage decision is waived under a documentation-based exception and a signed Advanced Beneficiary Notice is on file or specific payor allowance applies.
`GY`	Item not statutorily covered by Medicare	Use when Medicare does not cover the item and the supplier bills the beneficiary or secondary payor appropriately.
`KX`	Requirements specified in the medical policy have been met	Use when documentation supports medical necessity per payor-specific DME policy criteria.
`RR`	Rental equipment	Use if the supplier is billing as a rental rather than purchase per supplier arrangement and payor rules.
`RB`	Replacement of repairable item (note: `RB` not in provided list; excluded)	Data not available in the input.
`52`	Reduced services	Use when a modified or partial supply is provided compared with standard equipment (e.g., crutch delivered without custom features documented).
`53`	Discontinued procedure	Use if the supply was initiated but discontinued prior to delivery with appropriate documentation.
`59`	Distinct procedural service	Use when billing multiple distinct DME items or services on the same date that must be reported as separate.
`GA`	(duplicate entry avoided)	Data not available in the input.

Taxonomy Code	Specialty	Notes
`207L00000X`	Orthopedic Surgery	Orthopedic surgeons commonly prescribe `E0114` for postoperative or fracture care.
`208D00000X`	Emergency Medicine	Emergency physicians frequently provide immediate prescriptions for crutches after acute injury.
`261QM2500X`	Physical Therapy	Physical therapists perform gait training and patient education for safe crutch use.
`208000000X`	Family Medicine	Primary care and family physicians manage follow-up and prescribe DME for mobility limitations.
`3336C0002X`	Durable Medical Equipment Supplier	DME suppliers handle fitting, delivery, and billing for `E0114`.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`S82.201A`	Unspecified fracture of shaft of right tibia, initial encounter for closed fracture	Tibia fractures often require non–weight-bearing status and use of crutches.
`S82.200A`	Unspecified fracture of shaft of left tibia, initial encounter for closed fracture	Left-sided tibia fractures necessitate crutch-assisted ambulation.
`S82.101A`	Unspecified fracture of shaft of right fibula, initial encounter for closed fracture	Fibula fractures may require crutches depending on stability and weight-bearing orders.
`S93.401A`	Sprain of unspecified ligament of right ankle, initial encounter	Severe ankle sprains commonly result in temporary crutch use to offload the ankle.
`M25.561`	Pain in right knee	Knee pain from injury or surgery often requires assistive devices like crutches during recovery.
`M54.5`	Low back pain	Patients with significant lower extremity weakness or pain may be prescribed crutches for ambulation support.
`Z47.89`	Encounter for other orthopedic aftercare	Used during postoperative follow-up when durable medical equipment such as crutches is provided or adjusted.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`99213`	Office or other outpatient visit for the evaluation and management of an established patient, typically 15 minutes	Used for clinic follow-up visits where the clinician documents need for continued crutch use or discontinues DME.
`97035`	Ultrasound therapy, each 15 minutes	May be used in outpatient rehab visits for concomitant physical therapy modalities during recovery while the patient uses crutches.
`97110`	Therapeutic exercises to develop strength and endurance, each 15 minutes	Performed by physical therapists to restore function; gait and strengthening sessions often accompany crutch use.
`97112`	Neuromuscular re-education	Used when retraining gait patterns and balance while using crutches.
`99070`	Supplies and materials (noncovered)	Used by providers to bill for non-covered supplies or items related to patient education and fitting not included in DME billing.
`97140`	Manual therapy techniques (e.g., mobilization)	May be used during rehabilitation visits that coincide with prescription and training for crutch-assisted ambulation.

HCPCS E0100: Cane, Adjustable or Fixed, With Tip

HCPCS-E0105-CANE-QUAD-THREE-PRONG-MOBILITY-AID

HCPCS E0105: Cane, Quad or Three Prong, Adjustable or Fixed

HCPCS-E0110-FOREARM-CRUTCHES-PAIR-DME-MOBILITY

HCPCS E0110: Forearm Crutches, Pair, Complete with Tips and Handgrips

HCPCS-E0111-CRUTCH-FOREARM-DURABLE-MEDICAL-EQUIPMENT

HCPCS E0111: Crutch Forearm, Includes Tip and Handgrips

HCPCS-E0112-UNDERARM-WOOD-CRUTCHES-PAIR

HCPCS E0112: Underarm Wooden Crutches, Pair, with Pads and Handgrips

HCPCS-E0113-CRUTCH-UNDERARM-WOOD-ADJUSTABLE-FIXED-WITH-PAD-TIP-HANDGRIP

HCPCS Level II E0113: Crutch Underarm, Wood, with Pad, Tip and Handgrip

HCPCS-E0116-UNDERARM-CRUTCH-NON-WOOD-ADJUSTABLE-FIXED

HCPCS E0116: Underarm Crutch, Non‑Wood, Adjustable or Fixed

HCPCS-E0117-ARTICULATING-SPRING-ASSISTED-UNDERARM-CRUTCH

HCPCS E0117: Articulating, Spring-Assisted Underarm Crutch

HCPCS-E0118-LOWER-LEG-PLATFORM-CRUTCH-SUBSTITUTE

HCPCS E0118: Lower Leg Platform Crutch Substitute

HCPCS-E0130-RIGID-PICKUP-WALKER-ADJUSTABLE-FIXED-HEIGHT

HCPCS E0130: Walker, Rigid (Pickup), Adjustable or Fixed Height

Showing 1–10 of 670

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`LT`	Left side	Use when the device is provided specifically for predominant left-side impairment or when payor requires laterality reporting for bilateral services.
`RT`	Right side	Use when the device is provided specifically for predominant right-side impairment or when payor requires laterality reporting for bilateral services.
`GA`	Waiver of liability statement on file, no signed ABN on file	Use when a Medicare coverage decision is waived under a documentation-based exception and a signed Advanced Beneficiary Notice is on file or specific payor allowance applies.
`GY`	Item not statutorily covered by Medicare	Use when Medicare does not cover the item and the supplier bills the beneficiary or secondary payor appropriately.
`KX`	Requirements specified in the medical policy have been met	Use when documentation supports medical necessity per payor-specific DME policy criteria.
`RR`	Rental equipment	Use if the supplier is billing as a rental rather than purchase per supplier arrangement and payor rules.
`RB`	Replacement of repairable item (note: `RB` not in provided list; excluded)	Data not available in the input.
`52`	Reduced services	Use when a modified or partial supply is provided compared with standard equipment (e.g., crutch delivered without custom features documented).
`53`	Discontinued procedure	Use if the supply was initiated but discontinued prior to delivery with appropriate documentation.
`59`	Distinct procedural service	Use when billing multiple distinct DME items or services on the same date that must be reported as separate.
`GA`	(duplicate entry avoided)	Data not available in the input.

Taxonomy Code	Specialty	Notes
`207L00000X`	Orthopedic Surgery	Orthopedic surgeons commonly prescribe `E0114` for postoperative or fracture care.
`208D00000X`	Emergency Medicine	Emergency physicians frequently provide immediate prescriptions for crutches after acute injury.
`261QM2500X`	Physical Therapy	Physical therapists perform gait training and patient education for safe crutch use.
`208000000X`	Family Medicine	Primary care and family physicians manage follow-up and prescribe DME for mobility limitations.
`3336C0002X`	Durable Medical Equipment Supplier	DME suppliers handle fitting, delivery, and billing for `E0114`.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`S82.201A`	Unspecified fracture of shaft of right tibia, initial encounter for closed fracture	Tibia fractures often require non–weight-bearing status and use of crutches.
`S82.200A`	Unspecified fracture of shaft of left tibia, initial encounter for closed fracture	Left-sided tibia fractures necessitate crutch-assisted ambulation.
`S82.101A`	Unspecified fracture of shaft of right fibula, initial encounter for closed fracture	Fibula fractures may require crutches depending on stability and weight-bearing orders.
`S93.401A`	Sprain of unspecified ligament of right ankle, initial encounter	Severe ankle sprains commonly result in temporary crutch use to offload the ankle.
`M25.561`	Pain in right knee	Knee pain from injury or surgery often requires assistive devices like crutches during recovery.
`M54.5`	Low back pain	Patients with significant lower extremity weakness or pain may be prescribed crutches for ambulation support.
`Z47.89`	Encounter for other orthopedic aftercare	Used during postoperative follow-up when durable medical equipment such as crutches is provided or adjusted.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`99213`	Office or other outpatient visit for the evaluation and management of an established patient, typically 15 minutes	Used for clinic follow-up visits where the clinician documents need for continued crutch use or discontinues DME.
`97035`	Ultrasound therapy, each 15 minutes	May be used in outpatient rehab visits for concomitant physical therapy modalities during recovery while the patient uses crutches.
`97110`	Therapeutic exercises to develop strength and endurance, each 15 minutes	Performed by physical therapists to restore function; gait and strengthening sessions often accompany crutch use.
`97112`	Neuromuscular re-education	Used when retraining gait patterns and balance while using crutches.
`99070`	Supplies and materials (noncovered)	Used by providers to bill for non-covered supplies or items related to patient education and fitting not included in DME billing.
`97140`	Manual therapy techniques (e.g., mobilization)	May be used during rehabilitation visits that coincide with prescription and training for crutch-assisted ambulation.

HCPCS E0100: Cane, Adjustable or Fixed, With Tip

HCPCS-E0105-CANE-QUAD-THREE-PRONG-MOBILITY-AID

HCPCS E0105: Cane, Quad or Three Prong, Adjustable or Fixed

HCPCS-E0110-FOREARM-CRUTCHES-PAIR-DME-MOBILITY

HCPCS E0110: Forearm Crutches, Pair, Complete with Tips and Handgrips

HCPCS-E0111-CRUTCH-FOREARM-DURABLE-MEDICAL-EQUIPMENT

HCPCS E0111: Crutch Forearm, Includes Tip and Handgrips

HCPCS-E0112-UNDERARM-WOOD-CRUTCHES-PAIR

HCPCS E0112: Underarm Wooden Crutches, Pair, with Pads and Handgrips

HCPCS-E0113-CRUTCH-UNDERARM-WOOD-ADJUSTABLE-FIXED-WITH-PAD-TIP-HANDGRIP

HCPCS Level II E0113: Crutch Underarm, Wood, with Pad, Tip and Handgrip

HCPCS-E0116-UNDERARM-CRUTCH-NON-WOOD-ADJUSTABLE-FIXED

HCPCS E0116: Underarm Crutch, Non‑Wood, Adjustable or Fixed

HCPCS-E0117-ARTICULATING-SPRING-ASSISTED-UNDERARM-CRUTCH

HCPCS E0117: Articulating, Spring-Assisted Underarm Crutch

HCPCS-E0118-LOWER-LEG-PLATFORM-CRUTCH-SUBSTITUTE

HCPCS E0118: Lower Leg Platform Crutch Substitute

HCPCS-E0130-RIGID-PICKUP-WALKER-ADJUSTABLE-FIXED-HEIGHT

HCPCS E0130: Walker, Rigid (Pickup), Adjustable or Fixed Height

Showing 1–10 of 670

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

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HCPCS E0114: Underarm Crutches, Non-Wood, Pair, Adjustable or Fixed

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Billing Code Overview

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HCPCS E0114: Underarm Crutches, Non-Wood, Pair, Adjustable or Fixed

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Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References