Question 1

What is HCPCS code E0116?

Accepted Answer

HCPCS code E0116 is "Crutch underarm each no wood". Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each

Question 2

What category is E0116 in?

Accepted Answer

E0116 belongs to HCPCS Category E (Durable Medical Equipment (DME)).

Question 3

When should I use HCPCS code E0116?

Accepted Answer

Use E0116 when billing for crutch underarm each no 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 E0116 covered by Medicare?

Accepted Answer

Coverage for E0116 (Crutch underarm each no 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 E0116?

Accepted Answer

Documentation for E0116 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).