Crutches

Suggested HCPCS Code: E0114

• Lightweight anodized aluminum with push-button height adjustments.
• Crutch-bow ends prevent slipping when climbing stairs and help increase stress tolerance at all angles without cracking.
• Non-skid rubber tips provide good traction.
• Comfortable, durable underarm pad and hand grip.

 

Product Number	Size	Height Range
10101	Youth	4’6″ – 5’2″
10103	Adult	5’2″ – 5’10”
10105	Tall	5’10” – 6’6″

  Underlying Conditions:

• Foot/Ankle Fracture
• Foot/Ankle Sprain
• Foot/Ankle Deformity
• Mobility Limitations

Coverage Criteria: Crutches are covered only if all of the following criteria (1-3) are met:

• The beneficiary has a mobility limitation that significantly impairs his/her ability to participate in one or more mobility-related activities of daily living (MRADL) in the home.
• The beneficiary is able to safely use the crutch.
• The functional mobility deficit can be sufficiently resolved by use of a crutch.