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.

Our Process is as follows: