Cane, includes canes of all materials, adjustable or fixed, with tip
Medicare coverage: Special coverage instructions apply
Status: active (October 2026 file)
Medically Unlikely Edits (effective October 1, 2026)
Practitioner: max 0 units per day (clinical), rationale: CMS Policy
Outpatient hospital: max 0 units per day (clinical), rationale: CMS Policy
DME supplier: max 1 units per day (clinical), rationale: Nature of Equipment
Medicare pricing for E0100
DMEPOS fee schedule, July 2026 (DME26-C)
NU (purchased, new), inexpensive or routinely purchased (IN): non-rural $25.53 to $30.04 in the contiguous states; $28.77 to $48.89 in AK, HI, PR and VI; ceiling $30.04, floor $25.53
RR (rental), inexpensive or routinely purchased (IN): non-rural $7.17 to $8.44 in the contiguous states; $6.11 to $20.35 in AK, HI, PR and VI; ceiling $8.44, floor $7.17
UE (purchased, used), inexpensive or routinely purchased (IN): non-rural $20.35 to $23.94 in the contiguous states; $20.27 to $36.70 in AK, HI, PR and VI; ceiling $23.94, floor $20.35
Payer policies and prior authorization for E0100
Payer coverage policies that name E0100
E0100 appears in 1 coverage policy from Aetna.
Payer
Policy
Role in policy
Reviewed
Document
Aetna
Ambulatory Assist Devices: Canes, Crutches, and Walkers (0505)
From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.