Canes and Crutches

Canes (E0100, E0105) and specified crutches (E0110, E0111, E0112, E0113, E0114, E0116) are covered when the beneficiary has a mobility limitation that significantly impairs performance of one or more MRADLs in the home, can safely use the device, and the device sufficiently resolves the functional mobility deficit. Coverage requires adherence to Medicare benefit-category rules, proper coding, a Standard Written Order (SWO) before billing (and a signed WOPD before delivery when required), and maintenance of proof-of-delivery documentation; E0117 (spring-assisted underarm crutch) is explicitly not covered.

"An item is covered only if it is in a defined Medicare benefit category, is reasonable and necessary for diagnosis/treatment or to improve function of a malformed body member, and meets all other M..."

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