E0111 — Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips
E0111 is a HCPCS Level II code for crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips. It belongs to the Durable Medical Equipment section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Special coverage instructions apply
There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Medically Unlikely Edits — units per day
The most units of E0111 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
- outpatient
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
- DME supplier
- 2 units MAI 2 — Date of Service Edit: Policy · Code Descriptor / CPT Instruction
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.
The CMS record for E0111
- Long descriptor
- Crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips
- Short descriptor
- Crutch forearm each
- Added
- January 1, 1986
- BETOS
- D1E
- Pricing indicator
- 32 — DMEPOS
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Inexpensive and routinely purchased DME. Price subject to floors and ceilings.
Codes adjacent to E0111
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If E0111 is not quite right, the correct code is very often within a few positions of it.
- C9817Electronic cryo-pneumatic compression, pain management system (e.g. game ready grpro 2.1 system), including control unit, anatomically correct wrap(s), and other system component(s), non-opioid medical device (must be a qualifying medicare non-opioid medical device for post-surgical pain relief in accordance with section 4135 of the caa, 2023)
- C9818Suzetrigine, oral, 1 mg
- C9898Radiolabeled product provided during a hospital inpatient stay
- C9899Implanted prosthetic device, payable only for inpatients who do not have inpatient coverage
- C9901Endoscopic defect closure within the entire gastrointestinal tract, including upper endoscopy (including diagnostic, if performed) or colonoscopy (including diagnostic, if performed), with all system and tissue anchoring components
- E0100Cane, includes canes of all materials, adjustable or fixed, with tip
- E0105Cane, quad or three prong, includes canes of all materials, adjustable or fixed, with tips
- E0110Crutches, forearm, includes crutches of various materials, adjustable or fixed, pair, complete with tips and handgrips
- E0112Crutches underarm, wood, adjustable or fixed, pair, with pads, tips and handgrips
- E0113Crutch underarm, wood, adjustable or fixed, each, with pad, tip and handgrip
- E0114Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips
- E0116Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each
- E0117Crutch, underarm, articulating, spring assisted, each
- E0118Crutch substitute, lower leg platform, with or without wheels, each
- E0130Walker, rigid (pickup), adjustable or fixed height
- E0135Walker, folding (pickup), adjustable or fixed height
Questions about E0111
What is HCPCS code E0111?
E0111 is a HCPCS Level II code for crutch forearm, includes crutches of various materials, adjustable or fixed, each, with tip and handgrips. It sits in the Durable Medical Equipment section.
Does Medicare cover E0111?
The CMS HCPCS file marks E0111 as "Special coverage instructions apply". There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.