E0116 HCPCS code: Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each
E0116 is the HCPCS Level II code for crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each. The 2026 Medicare DMEPOS fee schedule pays $33.62 to $44.38 (NU, new equipment, purchased) depending on the state. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 2 per day on DME suppliers. Medicare volume rose 21% from 2022 to 2024 (95 to 115 services). In 2024, 28 suppliers billed Medicare for E0116 (purchases), serving 93 beneficiaries. Its average fee ranks 11 of 34 E01 codes billed NU (family range $13.50–$517.31).
Code details
| Field | Value |
|---|---|
| Section | E codes — Durable medical equipment |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 32 — DMEPOS: inexpensive or routinely purchased item |
| BETOS category | D1E — Other durable medical equipment |
| Added | 1986-01-01 |
| Last action effective | 2006-01-01 |
2026 Medicare DMEPOS fee schedule for E0116
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| NU | new equipment, purchased | $33.62 | $44.38 | $39.55 | $33.62 |
| RR | rental (monthly) | $5.58 | $7.72 | $7.72 | $6.56 |
| UE | used equipment, purchased | $25.30 | $33.26 | $29.76 | $25.30 |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | NU | $33.93 | — |
| AL | NU | $33.62 | — |
| AR | NU | $39.55 | — |
| AZ | NU | $33.62 | — |
| CA | NU | $33.62 | — |
| CO | NU | $33.62 | — |
| CT | NU | $35.31 | — |
| DC | NU | $33.90 | — |
| DE | NU | $33.90 | — |
| FL | NU | $33.62 | — |
| GA | NU | $33.62 | — |
| HI | NU | $36.29 | — |
| IA | NU | $33.62 | — |
| ID | NU | $39.55 | — |
| IL | NU | $39.55 | — |
| IN | NU | $34.18 | — |
| KS | NU | $39.55 | — |
| KY | NU | $33.89 | — |
| LA | NU | $39.55 | — |
| MA | NU | $39.55 | — |
| MD | NU | $39.55 | — |
| ME | NU | $39.55 | — |
| MI | NU | $39.55 | — |
| MN | NU | $36.27 | — |
| MO | NU | $39.55 | — |
| MS | NU | $37.51 | — |
| MT | NU | $39.55 | — |
| NC | NU | $33.62 | — |
| ND | NU | $39.55 | — |
| NE | NU | $39.55 | — |
| NH | NU | $39.55 | — |
| NJ | NU | $33.90 | — |
| NM | NU | $39.55 | — |
| NV | NU | $33.62 | — |
| NY | NU | $33.62 | — |
| OH | NU | $33.62 | — |
| OK | NU | $39.55 | — |
| OR | NU | $39.55 | — |
| PA | NU | $39.55 | — |
| PR | NU | $44.38 | — |
| RI | NU | $39.55 | — |
| SC | NU | $39.55 | — |
| SD | NU | $39.55 | — |
| TN | NU | $33.62 | — |
| TX | NU | $33.62 | — |
| UT | NU | $34.49 | — |
| VA | NU | $39.55 | — |
| VI | NU | $33.62 | — |
| VT | NU | $39.55 | — |
| WA | NU | $33.93 | — |
| WI | NU | $39.55 | — |
| WV | NU | $33.62 | — |
| WY | NU | $39.55 | — |
| AK | RR | $6.98 | — |
| AL | RR | $6.56 | — |
| AR | RR | $7.72 | — |
| AZ | RR | $7.64 | — |
| CA | RR | $6.91 | — |
| CO | RR | $7.72 | — |
| CT | RR | $6.56 | — |
| DC | RR | $7.72 | — |
| DE | RR | $7.72 | — |
| FL | RR | $6.56 | — |
| GA | RR | $6.56 | — |
| HI | RR | $7.44 | — |
| IA | RR | $6.56 | — |
| ID | RR | $6.56 | — |
| IL | RR | $7.72 | — |
| IN | RR | $6.56 | — |
| KS | RR | $7.72 | — |
| KY | RR | $6.56 | — |
| LA | RR | $6.56 | — |
| MA | RR | $6.56 | — |
| MD | RR | $7.72 | — |
| ME | RR | $6.56 | — |
| MI | RR | $6.56 | — |
| MN | RR | $7.72 | — |
| MO | RR | $7.72 | — |
| MS | RR | $6.56 | — |
| MT | RR | $7.72 | — |
| NC | RR | $6.56 | — |
| ND | RR | $7.72 | — |
| NE | RR | $7.72 | — |
| NH | RR | $6.56 | — |
| NJ | RR | $7.72 | — |
| NM | RR | $6.56 | — |
| NV | RR | $7.72 | — |
| NY | RR | $7.72 | — |
| OH | RR | $7.72 | — |
| OK | RR | $6.56 | — |
| OR | RR | $7.72 | — |
| PA | RR | $7.72 | — |
| PR | RR | $5.58 | — |
| RI | RR | $7.72 | — |
| SC | RR | $6.56 | — |
| SD | RR | $7.72 | — |
| TN | RR | $6.56 | — |
| TX | RR | $6.56 | — |
| UT | RR | $6.56 | — |
| VA | RR | $7.72 | — |
| VI | RR | $7.72 | — |
| VT | RR | $6.56 | — |
| WA | RR | $7.72 | — |
| WI | RR | $7.72 | — |
| WV | RR | $7.72 | — |
| WY | RR | $7.72 | — |
| AK | UE | $25.45 | — |
| AL | UE | $25.30 | — |
| AR | UE | $29.76 | — |
| AZ | UE | $25.30 | — |
| CA | UE | $25.30 | — |
| CO | UE | $25.30 | — |
| CT | UE | $26.50 | — |
| DC | UE | $25.41 | — |
| DE | UE | $25.41 | — |
| FL | UE | $25.30 | — |
| GA | UE | $25.30 | — |
| HI | UE | $27.22 | — |
| IA | UE | $25.30 | — |
| ID | UE | $29.76 | — |
| IL | UE | $29.76 | — |
| IN | UE | $25.66 | — |
| KS | UE | $29.76 | — |
| KY | UE | $25.41 | — |
| LA | UE | $29.76 | — |
| MA | UE | $29.76 | — |
| MD | UE | $29.76 | — |
| ME | UE | $29.76 | — |
| MI | UE | $29.76 | — |
| MN | UE | $27.21 | — |
| MO | UE | $29.76 | — |
| MS | UE | $29.76 | — |
| MT | UE | $29.76 | — |
| NC | UE | $25.30 | — |
| ND | UE | $29.76 | — |
| NE | UE | $29.76 | — |
| NH | UE | $29.76 | — |
| NJ | UE | $25.41 | — |
| NM | UE | $29.76 | — |
| NV | UE | $25.30 | — |
| NY | UE | $25.30 | — |
| OH | UE | $25.30 | — |
| OK | UE | $29.76 | — |
| OR | UE | $29.76 | — |
| PA | UE | $29.74 | — |
| PR | UE | $33.26 | — |
| RI | UE | $29.76 | — |
| SC | UE | $29.76 | — |
| SD | UE | $29.76 | — |
| TN | UE | $25.30 | — |
| TX | UE | $25.30 | — |
| UT | UE | $25.91 | — |
| VA | UE | $29.76 | — |
| VI | UE | $25.30 | — |
| VT | UE | $29.76 | — |
| WA | UE | $25.42 | — |
| WI | UE | $29.76 | — |
| WV | UE | $25.30 | — |
| WY | UE | $29.76 | — |
How the E0116 fee compares
| Measure | Value |
|---|---|
| Rank among 34 E01 codes billed NU (lowest = 1) | 11 |
| Family fee range (average of state fees) | $13.50–$517.31 |
| Rural fee uplift | — |
Who bills E0116 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 28 |
| Referring clinicians | 56 |
| Medicare beneficiaries | 93 |
| States with claims | 2 |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 34 | 72 |
| 2023 | 35 | 108 |
| 2024 | 28 | 93 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E0116, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 95 | 72 | $28.42 | $20.67 |
| 2023 | 136 | 108 | $31.71 | $24.33 |
| 2024 | 115 | 93 | $33.32 | $24.51 |
States with the most E0116 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Colorado | 31 | $22.91 |
| Georgia | 31 | $21.52 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 2 | Code Descriptor / CPT Instruction |
What changed for E0116
- 2026-01-01: Average state fee (NU) rose 2.0%: $36.16 to $36.89
- 2026-01-01: Average state fee (RR) rose 2.0%: $7.02 to $7.16
- 2026-01-01: Average state fee (UE) rose 2.0%: $27.22 to $27.76
- 1986-01-01: E0116 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code E0116?
E0116 is the HCPCS Level II code for crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each. Short descriptor: "Crutch underarm each no wood".
How much does Medicare pay for E0116?
Under the 2026 DMEPOS fee schedule, non-rural state fees are NU (new equipment, purchased): $33.62–$44.38; RR (rental (monthly)): $5.58–$7.72; UE (used equipment, purchased): $25.30–$33.26. Rural fees can be higher.
Does Medicare cover E0116?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for E0116 change in 2026?
The average non-rural state fee for NU moved from $36.16 in 2025 to $36.89 in 2026 (+2.0%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E0116 can be billed per day?
2 on DME suppliers (NCCI medically unlikely edits).
Related E01 codes
- E0100 — Cane, includes canes of all materials, adjustable or fixed, with tip ($6.11–$48.89)
- E0105 — Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips ($10.74–$86.55)
- E0110 — Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips ($17.71–$141.62)
- E0111 — Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips ($8.81–$80.49)
- E0112 — Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips ($7.97–$63.92)
- E0113 — Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip ($4.00–$55.77)
- E0114 — Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips ($10.38–$88.73)
- E0117 — Crutch, underarm, articulating, spring assisted, each ($27.45–$32.96)
- E0118 — Crutch substitute, lower leg platform, with or without wheels, each
- E0130 — Walker, rigid (pickup), adjustable or fixed height ($5.35–$86.89)
- E0135 — Walker, folding (pickup), adjustable or fixed height ($5.35–$105.44)
- E0140 — Walker, with trunk support, adjustable or fixed height, any type ($31.98–$45.71)
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under E0116
- Watch E0116 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0116
Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.