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.
