HCPCS Level II › E codes E0117 Underarm springassist crutchCrutch, underarm, articulating, spring assisted, each
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 2 units per day (policy), rationale: Code Descriptor / CPT Instruction Medicare pricing for E0117 DMEPOS fee schedule, July 2026 (DME26-C) RR (rental), capped rental (CR): non-rural $27.45 in the contiguous states; $27.45 to $32.96 in AK, HI, PR and VI; ceiling $27.45, floor $23.33 Payer policies and prior authorization for E0117 Payer coverage policies that name E0117 E0117 appears in 1 coverage policy from Aetna.
Payer Policy Role in policy Reviewed Document Aetna Ambulatory Assist Devices: Canes, Crutches, and Walkers (0505)Sit-and-stand walking assistant crutch, Upsee mobility device not covered Aug 3, 2026 payer document
Medicaid fee-for-service Prior authorization required or conditional in CO, MA, MS, OH, VA, WA.
AZ: $166.90 (dme), effective Oct 1, 2026 CO: $211.98 (chp_plus, non-facility), effective Jul 1, 2026 IN: $22.87 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2026 KY: $154.17 (dme), effective Jan 1, 2026 MD: $233.32 (dme), effective Apr 1, 2026 MS: $219.60 (comprehensive), effective Jul 1, 2026 ND: $274.50 (dme), effective Aug 1, 2026 NE: $24.01 (dme), effective Jul 1, 2026 OH: $21.52 (dme), effective Jan 1, 2026 OK: $274.50 (dme), effective Jan 1, 2026 VA: $259.43 (dme), effective Dec 1, 2026 VT: $241.56 (outpatient_hospital_opps), effective Feb 1, 2026 WA: $274.50 (medical_equipment_supplies), effective Jul 1, 2026 WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026 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.