Cane HCPCS code
A cane is usually billed under HCPCS code E0100 (Cane, includes canes of all materials, adjustable or fixed, with tip); related codes are E0105. The 2026 Medicare DMEPOS fee schedule pays $25.53 to $48.89 (NU, new equipment, purchased) for E0100, depending on the state. Medicare paid for 27,202 E0100 services from 3,155 suppliers in 2024.
HCPCS codes for cane
| Code | Description | Medicare coverage | DMEPOS fee (state range) | Medicare services |
|---|---|---|---|---|
| E0100 | Cane, includes canes of all materials, adjustable or fixed, with tip | Special coverage instructions apply | $25.53–$48.89 (NU) | 27,202 (2024) |
| E0105 | Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips | Special coverage instructions apply | $59.50–$86.55 (NU) | 16,190 (2024) |
Supplies and accessories
| Code | Description | Medicare coverage | DMEPOS fee (state range) | Medicare services |
|---|---|---|---|---|
| A4636 | Replacement, handgrip, cane, crutch, or walker, each | Special coverage instructions apply | $2.90–$5.47 (NU) | 523 (2024) |
| A4637 | Replacement, tip, cane, crutch, walker, each. | Special coverage instructions apply | $2.20–$3.48 (NU) | 416 (2024) |
Medicare revenue estimate for E0100
Units per month × state fee = monthly Medicare revenue. At 10 units a month, E0100 (NU) pays $488.90 in PR and $255.30 in ID, before the 20% patient coinsurance.
Medicare coverage policy
Frequently asked questions
What is the HCPCS code for a cane?
E0100: Cane, includes canes of all materials, adjustable or fixed, with tip. Other cane codes: E0105 (Cane adjust/fixed quad/3 pro).
Does Medicare cover a cane?
By HCPCS coverage code — E0100: Special coverage instructions apply; E0105: Special coverage instructions apply.
How much does Medicare pay for a cane?
Under the 2026 DMEPOS fee schedule (non-rural state fees): E0100 $25.53 to $48.89 (NU, new equipment, purchased); E0105 $59.50 to $86.55 (NU, new equipment, purchased).
Which supplies and accessories are billed with a cane?
A4636 (Handgrip for cane etc); A4637 (Repl tip cane/crutch/walker).
Next steps
- Run a reimbursement report for a device billed under E0100
- Watch E0100 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0100
Part of Walkers, canes and crutches.
Related equipment
Sources: CMS HCPCS Level II; CMS DMEPOS fee schedule 2026; CMS Medicare utilization; CMS Medicare Coverage Database. Fees are Medicare allowables (non-rural, by state), not commercial rates. Code choice depends on the exact item; check the descriptor. Not billing or legal advice.