HCPCS Level II E0951: Heel Loop/Holder, With or Without Ankle Strap

HCPCS Level II code E0951 describes a single heel loop/holder, any type, with or without ankle strap, supplied as durable medical equipment for supporting or positioning the heel; typical service type is orthotic/device supply and common sites of service include outpatient clinics, durable medical equipment suppliers, and home health settings.

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HCPCS Level II E0951: Heel Loop/Holder, With or Without Ankle Strap

Customize your policy alerts

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Get alerted when payer policies referencing E0951 are released or updated.

Monitor payer policy activity

Receive email alerts as soon as relevant payer policies are published or updated.

Clinical & Coding Specifications

Clinical Context

A patient with chronic heel pain or instability is evaluated in an outpatient orthotics clinic. The patient presents with discomfort localized to the posterior heel due to conditions such as Achilles tendinopathy, heel bursitis, diabetic foot deformity with pressure at the heel, or after surgical repair requiring offloading or stabilization of the heel. A certified orthotist or prosthetist, or an orthopedic clinician, assesses the need for a heel loop/holder to secure an orthosis, prosthesis, or heel cup. The device described by HCPCS code E0951 (heel loop/holder, any type, with or without ankle strap, each) is selected when a device is required to anchor an orthosis or to provide a stabilizing strap for a heel insert.

The clinical workflow includes: initial evaluation and documentation of diagnosis and functional limitation; measurement and fitting by the orthotics technician or prosthetist; trial of the heel loop/holder on the patient for comfort and fit; documentation of medical necessity and device description in the patient record; delivery and patient education on use and skin checks; and billing the device under E0951 with appropriate modifier(s) reflecting laterality, billing circumstances, or provider role as required by the payer.

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 the clinical evaluation and documentation that supports medical necessity for the heel loop/holder
`97760`	Orthotic management and training, initial encounter (including assessment, fitting, and training)	Performed by therapists when fitting and instructing patients on orthotic devices and heel accessories
`97762`	Orthotic follow-up management, subsequent encounter	Used for adjustments, follow-up fitting, and problem-solving related to the heel loop/holder
`L4360`	Shoe insert, removable inlay/orthotic, molded to patient model, without cover, each	Often provided along with or preceding a heel holder when an orthotic insole is prescribed
`A9270`	Non-covered item or service, miscellaneous DME supply, accessory, and/or service component of another HCPCS	Occasionally used by payers for reporting miscellaneous orthotic accessories if no specific code is accepted

Related Modifiers

5 rows

Modifier	Description	When to Use
50	Modifier –50 (Bilateral Procedure) is appended to a CPT code when an identical procedure is performed on paired anatomical structures during the same operative session. The AMA states to add…	- Use modifier -50 when the same CPT surgical, diagnostic, or radiology procedure is performed on paired anatomical structures (both sides of the body) during the same operative/session by the same…
59	Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…	- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
66	Modifier 66 (Surgical Team) is used when three or more surgeons act as primary surgeons on a single, highly complex procedure. The AMA defines it for use when a surgical team — often composed of…	- Use modifier 66 when three or more surgeons act as primary surgeons working collaboratively as a surgical team on a single, highly complex or difficult procedure (for example organ…
26	Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…	- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
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Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
213E00000X	Podiatrist	A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that l…
2080P0207X	Pediatric Hematology & Oncology Physician	A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous disea…
208800000X	Urology Physician	A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has compreh…
207L00000X	Anesthesiology Physician	An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an opera…
332000000X	Military/U.S. Coast Guard Pharmacy	A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated…
103T00000X	Psychologist	A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, a…
2084S0012X	Sleep Medicine (Psychiatry & Neurology) Physician	A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessme…
207RH0003X	Hematology & Oncology Physician	An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy t…

Related ICD-10-CM Codes

23 rows

ICD-10-CM Code	Description
E11.621	Type 2 diabetes mellitus with foot ulcer
G57.51	Tarsal tunnel syndrome, right lower limb
G57.52	Tarsal tunnel syndrome, left lower limb
L97.409	Non-pressure chronic ulcer of unspecified heel and midfoot with unspecified severity
M21.621	Bunionette of right foot
M21.622	Bunionette of left foot
M24.571	Contracture, right ankle
M24.572	Contracture, left ankle
M25.571	Pain in right ankle and joints of right foot
M25.572	Pain in left ankle and joints of left foot

Showing 1–10 of 23

Related Payer Policy Updates

Specialty: Durable Medical Equipment (DME)1 / 3

10 rows

Policy	Payer	Effective Date
Prior Authorization for Durable Medical Equipment (DME)	Blue Cross Blue Shield - Rhode Island	2026-10-01
Continuous Passive Motion (CPM) Devices	Cigna	2026-08-15
Push-Rim Activated Power-Assist Device (E0986) — Manual Wheelchair Accessory	moda_health_plan_inc	2026-08-13
Beds and Mattresses (for Ohio Only)	Colorado Rocky Mountain Health Plans	2026-08-01
Pneumatic Compression Devices (for Nebraska Only)	UnitedHealthcare	2026-08-01
Beds and Mattresses (for Kentucky Only)	UnitedHealthcare	2026-08-01
Indications for Coverage — Hospital beds, support surfaces, and safety enclosure beds (DME)	Colorado Rocky Mountain Health Plans	2026-08-01
Enteral Nutrition (Oral and Tube Feeding) (for Pennsylvania Only)	UnitedHealthcare	2026-08-01
Pediatric Gait Trainers and Standing Systems (for Tennessee Only)	UnitedHealthcare	2026-08-01
Beds and Mattresses (for Kansas Only)	UnitedHealthcare	2026-08-01

HCPCS E0100: Cane, Adjustable or Fixed, With Tip

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

HCPCS Level II E0105: Cane, Quad or Three-Prong, Includes Tips

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

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

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

HCPCS Level II E0111: Crutch, Forearm, With Tip and Handgrips

HCPCS-E0112-UNDERARM-WOOD-CRUTCHES-PAIR

HCPCS Level II E0112: Underarm Wooden Crutches, Pair

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

HCPCS Level II E0113: Crutch Underarm, Wood, Adjustable or Fixed

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

HCPCS Level II E0114: Underarm (Axillary) Crutches, Adjustable or Fixed, Pair

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

HCPCS E0116: Underarm Crutch, Non-Wood, Adjustable/Fixed with Pad

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

HCPCS Level II E0117: Crutch, Underarm, Articulating, Spring-Assisted

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

HCPCS E0118: Crutch Substitute, Lower Leg Platform

Showing 1–10 of 670

Frequently Asked Questions

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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Clinical & Coding Specifications

Clinical Context

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 the clinical evaluation and documentation that supports medical necessity for the heel loop/holder
`97760`	Orthotic management and training, initial encounter (including assessment, fitting, and training)	Performed by therapists when fitting and instructing patients on orthotic devices and heel accessories
`97762`	Orthotic follow-up management, subsequent encounter	Used for adjustments, follow-up fitting, and problem-solving related to the heel loop/holder
`L4360`	Shoe insert, removable inlay/orthotic, molded to patient model, without cover, each	Often provided along with or preceding a heel holder when an orthotic insole is prescribed
`A9270`	Non-covered item or service, miscellaneous DME supply, accessory, and/or service component of another HCPCS	Occasionally used by payers for reporting miscellaneous orthotic accessories if no specific code is accepted

Related Modifiers

5 rows

Modifier	Description	When to Use
50	Modifier –50 (Bilateral Procedure) is appended to a CPT code when an identical procedure is performed on paired anatomical structures during the same operative session. The AMA states to add…	- Use modifier -50 when the same CPT surgical, diagnostic, or radiology procedure is performed on paired anatomical structures (both sides of the body) during the same operative/session by the same…
59	Modifier 59 indicates a distinct procedural service when two procedures that are not normally billed together are clinically and procedurally separate. The CPT definition (as reiterated by CMS)…	- Use modifier -59 to report a distinct procedural service when documentation supports that the procedure reported is not normally billed together with another service on the same day because of a…
66	Modifier 66 (Surgical Team) is used when three or more surgeons act as primary surgeons on a single, highly complex procedure. The AMA defines it for use when a surgical team — often composed of…	- Use modifier 66 when three or more surgeons act as primary surgeons working collaboratively as a surgical team on a single, highly complex or difficult procedure (for example organ…
26	Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…	- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
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Related Provider Taxonomies

8 rows

Taxonomy Code	Specialty	Notes
213E00000X	Podiatrist	A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that l…
2080P0207X	Pediatric Hematology & Oncology Physician	A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous disea…
208800000X	Urology Physician	A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has compreh…
207L00000X	Anesthesiology Physician	An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an opera…
332000000X	Military/U.S. Coast Guard Pharmacy	A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated…
103T00000X	Psychologist	A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, a…
2084S0012X	Sleep Medicine (Psychiatry & Neurology) Physician	A Psychiatrist or Neurologist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessme…
207RH0003X	Hematology & Oncology Physician	An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy t…

Related ICD-10-CM Codes

23 rows

ICD-10-CM Code	Description
E11.621	Type 2 diabetes mellitus with foot ulcer
G57.51	Tarsal tunnel syndrome, right lower limb
G57.52	Tarsal tunnel syndrome, left lower limb
L97.409	Non-pressure chronic ulcer of unspecified heel and midfoot with unspecified severity
M21.621	Bunionette of right foot
M21.622	Bunionette of left foot
M24.571	Contracture, right ankle
M24.572	Contracture, left ankle
M25.571	Pain in right ankle and joints of right foot
M25.572	Pain in left ankle and joints of left foot

Showing 1–10 of 23

Related Payer Policy Updates

Specialty: Durable Medical Equipment (DME)1 / 3

10 rows

Policy	Payer	Effective Date
Prior Authorization for Durable Medical Equipment (DME)	Blue Cross Blue Shield - Rhode Island	2026-10-01
Continuous Passive Motion (CPM) Devices	Cigna	2026-08-15
Push-Rim Activated Power-Assist Device (E0986) — Manual Wheelchair Accessory	moda_health_plan_inc	2026-08-13
Beds and Mattresses (for Ohio Only)	Colorado Rocky Mountain Health Plans	2026-08-01
Pneumatic Compression Devices (for Nebraska Only)	UnitedHealthcare	2026-08-01
Beds and Mattresses (for Kentucky Only)	UnitedHealthcare	2026-08-01
Indications for Coverage — Hospital beds, support surfaces, and safety enclosure beds (DME)	Colorado Rocky Mountain Health Plans	2026-08-01
Enteral Nutrition (Oral and Tube Feeding) (for Pennsylvania Only)	UnitedHealthcare	2026-08-01
Pediatric Gait Trainers and Standing Systems (for Tennessee Only)	UnitedHealthcare	2026-08-01
Beds and Mattresses (for Kansas Only)	UnitedHealthcare	2026-08-01

HCPCS E0100: Cane, Adjustable or Fixed, With Tip

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

HCPCS Level II E0105: Cane, Quad or Three-Prong, Includes Tips

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

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

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

HCPCS Level II E0111: Crutch, Forearm, With Tip and Handgrips

HCPCS-E0112-UNDERARM-WOOD-CRUTCHES-PAIR

HCPCS Level II E0112: Underarm Wooden Crutches, Pair

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

HCPCS Level II E0113: Crutch Underarm, Wood, Adjustable or Fixed

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

HCPCS Level II E0114: Underarm (Axillary) Crutches, Adjustable or Fixed, Pair

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

HCPCS E0116: Underarm Crutch, Non-Wood, Adjustable/Fixed with Pad

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

HCPCS Level II E0117: Crutch, Underarm, Articulating, Spring-Assisted

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

HCPCS E0118: Crutch Substitute, Lower Leg Platform

Showing 1–10 of 670

Frequently Asked Questions

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.

Published by

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HCPCS Level II E0951: Heel Loop/Holder, With or Without Ankle Strap

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OpenPayer

HCPCS Level II E0951: Heel Loop/Holder, With or Without Ankle Strap

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Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Payer Policy Updates

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Payer Policy Updates

Related Codes

References

HCPCS Level II E0951: Heel Loop/Holder, With or Without Ankle Strap

Sign up for hcpcs E0951 policy alerts

HCPCS Level II E0951: Heel Loop/Holder, With or Without Ankle Strap

Sign up for hcpcs E0951 policy alerts

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Payer Policy Updates

Related Codes

What item does HCPCS E0951 represent and where is it typically used?

Which billing modifiers are relevant for E0951 and when should they be applied?

In what clinical situations and workflow is E0951 typically furnished?

What related CPT/HCPCS codes should be considered when billing for a heel loop/holder?

Which payers are referenced for E0951 and are there any noted gaps in the provided coverage information?

References

Clinical & Coding Specifications

Clinical Context

Related CPT Codes

Related Modifiers

Related Provider Taxonomies

Related ICD-10-CM Codes

Related Payer Policy Updates

Related Codes

What item does HCPCS E0951 represent and where is it typically used?

Which billing modifiers are relevant for E0951 and when should they be applied?

In what clinical situations and workflow is E0951 typically furnished?

What related CPT/HCPCS codes should be considered when billing for a heel loop/holder?

Which payers are referenced for E0951 and are there any noted gaps in the provided coverage information?

References