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HCPCS E0638: Standing Frame/Table System, One Position

HCPCS Level II code E0638 denotes a one-position standing frame or table system (upright, supine, or prone stander), any size including pediatric, with or without wheels. Nationally, this code is relevant for durable medical equipment supply, pediatric and adult rehabilitation, home mobility and positioning programs, and long-term care support. Coverage and payment policies for E0638 influence access to standing systems that support therapy, pressure redistribution, bone density maintenance, and functional positioning.

Key payers in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find benchmarks for common coverage practices, typical sites of service where this equipment is used, and the clinical contexts in which a one-position stander is deployed. The publication summarizes how payers approach authorization, documentation expectations, and common service delivery settings for durable medical equipment items like E0638.

The report provides clinicians, billing staff, and policy stakeholders with a concise reference on the clinical purpose of the device, payer landscape, and practical billing context. Data not available in the input are clearly noted where applicable.

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Billing Code Overview

HCPCS Level II code E0638 describes a standing frame/table system, one position (for example, upright, supine, or prone stander), any size including pediatric, with or without wheels. This equipment supports patients who require positioning assistance to stand or be supported in a single fixed position for therapeutic, developmental, or functional activities.

Service type: Durable medical equipment (DME) item used for patient positioning and standing support.
Typical site of service: Use commonly occurs in outpatient clinics, rehabilitation centers, schools, long-term care facilities, and patient homes where durable medical equipment is provided for ongoing therapy or support.

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HCPCS E0638: Standing Frame/Table System, One Position

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Billing Code Overview

Service type: Durable medical equipment (DME) item used for patient positioning and standing support.
Typical site of service: Use commonly occurs in outpatient clinics, rehabilitation centers, schools, long-term care facilities, and patient homes where durable medical equipment is provided for ongoing therapy or support.

Clinical & Coding Specifications

Clinical Context

A pediatric patient with spastic cerebral palsy (spastic quadriplegia) and limited independent standing ability is evaluated by a pediatric physical therapist in an outpatient rehabilitation clinic. The interdisciplinary team — including a physiatrist, occupational therapist, and durable medical equipment (DME) specialist — determines that a standing frame/table (E0638) is medically necessary to provide supported upright positioning for bone health, orthostatic tolerance, pressure redistribution, and participation in daily activities and school tasks. The workflow includes a physician or qualified practitioner order documenting functional limitations and goals, a detailed therapy evaluation noting weight, height, range of motion, and postural needs, a face-to-face or telehealth consultation as required by payer policy, DME supplier measurement and fitting, delivery with caregiver training, and follow-up visits for adjustments and skin checks. Documentation includes the order, clinical justification linking the diagnosis to the need for standing, proof of medical necessity (therapy notes and progress goals), supplier invoice, and any applicable prior authorization from payors such as Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, BUCA, or Medicare.

Coding Specifications

Modifier	Description	When to Use
`00`	No modifier	Default when no special modifier applies
`22`	Increased procedural services	When significant additional work is required for custom fitting or extended supplier time
`26`	Professional component	When a separately billable professional evaluation (e.g., supplier fitting by a clinician) is reported
`52`	Reduced services	When a reduced or partial device is provided compared to typical supply
`53`	Discontinued procedure	If the delivery or fitting is started but discontinued due to patient intolerance
`62`	Two surgeons	Rare; when two qualified providers are jointly responsible for the evaluation or fitting
`AS`	Physician assistant, nurse practitioner, or clinical nurse specialist as primary provider	When an NP/PA is the primary ordering clinician for device justification (payer-specific acceptance)
`KR`	Repair or significant modification of DME	When major modification or refurbishment of the standing frame is required
`LL`	Manufactured from specific materials	When device uses a specialized material requiring separate reporting per payer rules
`RR`	Rental reporting (RR used historically)	When distinguishing rental vs purchase per payer guidance (use payer-specific codes when applicable)

Taxonomy Code	Specialty	Notes
`251B00000X`	Physical Medicine & Rehabilitation Physician	Prescribes and documents medical necessity; oversees functional goals
`208K00000X`	Physical Therapist	Performs functional evaluation, documents therapy need, provides training
`3336C0002X`	Durable Medical Equipment Supplier	Measures, fits, dispenses, and services the standing frame
`363L00000X`	Occupational Therapist	Assesses activities of daily living and seating/positioning needs
`363A00000X`	Pediatrician	Provides primary care oversight and co-signs necessity when required

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`G80.0`	Spastic quadriplegic cerebral palsy	Common indication for standing frame to provide weight-bearing, reduce contractures, and support function
`G80.1`	Spastic hemiplegic cerebral palsy	May require standing support to improve alignment and weight-bearing on affected side
`M62.81`	Muscle weakness (generalized)	Associated weakness limiting independent standing; standing frame provides supported upright positioning
`M25.51`	Pain in shoulder	Secondary musculoskeletal pain that may be alleviated by improved positioning and pressure redistribution
`R26.2`	Difficulty in walking, not elsewhere classified	Functional gait impairment where a standing frame supports rehabilitation and participation

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97161`	Physical therapy evaluation — low complexity	Initial PT evaluation documenting functional limitations supporting the need for a standing frame
`97162`	Physical therapy evaluation — moderate complexity	Used when evaluation includes moderate complexity assessment elements justifying device needs
`97530`	Therapeutic activities, direct (one-on-one)	Therapy sessions that incorporate standing frame use to achieve functional mobility and activity goals
`97760`	Orthotic (prosthetic) management and training, upper or lower extremity, lower	Training and fitting-related education when using assistive positioning equipment
`99070`	Supplies and materials (noncovered)	For noncovered accessory supplies provided with the standing frame; billed per payer policy

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-E0114-UNDERARM-CRUTCHES-PAIR-ADJUSTABLE-FIXED

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

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

Showing 1–10 of 670

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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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.

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Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`00`	No modifier	Default when no special modifier applies
`22`	Increased procedural services	When significant additional work is required for custom fitting or extended supplier time
`26`	Professional component	When a separately billable professional evaluation (e.g., supplier fitting by a clinician) is reported
`52`	Reduced services	When a reduced or partial device is provided compared to typical supply
`53`	Discontinued procedure	If the delivery or fitting is started but discontinued due to patient intolerance
`62`	Two surgeons	Rare; when two qualified providers are jointly responsible for the evaluation or fitting
`AS`	Physician assistant, nurse practitioner, or clinical nurse specialist as primary provider	When an NP/PA is the primary ordering clinician for device justification (payer-specific acceptance)
`KR`	Repair or significant modification of DME	When major modification or refurbishment of the standing frame is required
`LL`	Manufactured from specific materials	When device uses a specialized material requiring separate reporting per payer rules
`RR`	Rental reporting (RR used historically)	When distinguishing rental vs purchase per payer guidance (use payer-specific codes when applicable)

Taxonomy Code	Specialty	Notes
`251B00000X`	Physical Medicine & Rehabilitation Physician	Prescribes and documents medical necessity; oversees functional goals
`208K00000X`	Physical Therapist	Performs functional evaluation, documents therapy need, provides training
`3336C0002X`	Durable Medical Equipment Supplier	Measures, fits, dispenses, and services the standing frame
`363L00000X`	Occupational Therapist	Assesses activities of daily living and seating/positioning needs
`363A00000X`	Pediatrician	Provides primary care oversight and co-signs necessity when required

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`G80.0`	Spastic quadriplegic cerebral palsy	Common indication for standing frame to provide weight-bearing, reduce contractures, and support function
`G80.1`	Spastic hemiplegic cerebral palsy	May require standing support to improve alignment and weight-bearing on affected side
`M62.81`	Muscle weakness (generalized)	Associated weakness limiting independent standing; standing frame provides supported upright positioning
`M25.51`	Pain in shoulder	Secondary musculoskeletal pain that may be alleviated by improved positioning and pressure redistribution
`R26.2`	Difficulty in walking, not elsewhere classified	Functional gait impairment where a standing frame supports rehabilitation and participation

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97161`	Physical therapy evaluation — low complexity	Initial PT evaluation documenting functional limitations supporting the need for a standing frame
`97162`	Physical therapy evaluation — moderate complexity	Used when evaluation includes moderate complexity assessment elements justifying device needs
`97530`	Therapeutic activities, direct (one-on-one)	Therapy sessions that incorporate standing frame use to achieve functional mobility and activity goals
`97760`	Orthotic (prosthetic) management and training, upper or lower extremity, lower	Training and fitting-related education when using assistive positioning equipment
`99070`	Supplies and materials (noncovered)	For noncovered accessory supplies provided with the standing frame; billed per payer policy

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-E0114-UNDERARM-CRUTCHES-PAIR-ADJUSTABLE-FIXED

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

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

Showing 1–10 of 670

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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HCPCS E0638: Standing Frame/Table System, One Position

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Billing Code Overview

OpenPayer

HCPCS E0638: Standing Frame/Table System, One Position

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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