Question 1

What is HCPCS code E0113?

Accepted Answer

HCPCS code E0113 is "Crutch underarm each wood". Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip

Question 2

What category is E0113 in?

Accepted Answer

E0113 belongs to HCPCS Category E (Durable Medical Equipment (DME)).

Question 3

When should I use HCPCS code E0113?

Accepted Answer

Use E0113 when billing for crutch underarm each wood. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is E0113 covered by Medicare?

Accepted Answer

Coverage for E0113 (Crutch underarm each wood) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for E0113?

Accepted Answer

Documentation for E0113 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).