How To Use HCPCS Code E0113

HCPCS code E0113 describes a crutch underarm made of wood, which is adjustable or fixed. It is sold individually and comes with a pad, tip, and handgrip. This code falls under the category of enteral supplies not otherwise classified.

1. What is HCPCS E0113?

HCPCS code E0113 is used to identify a specific type of crutch underarm made of wood. It can be adjusted to fit the user’s height or remain fixed in size. Each crutch is equipped with a pad for underarm support, a tip for stability, and a handgrip for holding onto the crutch.

2. Official Description

The official description of HCPCS code E0113 is “Crutch underarm, wood, adjustable or fixed, each, with pad, tip, and handgrip.” The short description for this code is “Enteral supp not otherwise c.”

3. Procedure

1. When using HCPCS code E0113, the healthcare provider will assess the patient’s need for crutches and determine if underarm crutches made of wood are suitable for their condition.
2. The provider will measure the patient’s height to ensure the crutches can be adjusted accordingly, if necessary.
3. If the crutches need to be adjusted, the provider will make the necessary changes to ensure a proper fit for the patient.
4. The provider will provide the patient with the crutches, including the underarm pads, tips, and handgrips.
5. The patient will be instructed on how to use the crutches safely and effectively.

4. When to use HCPCS code E0113

HCPCS code E0113 should be used when a patient requires underarm crutches made of wood. These crutches are typically used to provide support and stability for individuals with mobility issues or injuries affecting the lower extremities. The decision to use this code is based on the specific needs of the patient and the healthcare provider’s clinical judgment.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0113, healthcare providers should ensure that the following documentation is included:

• Medical records supporting the need for underarm crutches
• Documentation of the patient’s height measurement, if applicable
• Proof of delivery of the crutches, including the underarm pads, tips, and handgrips

Providers should follow the appropriate billing guidelines and submit the claim with the necessary supporting documentation to ensure accurate reimbursement.

6. Historical Information and Code Maintenance

HCPCS code E0113 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. There have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code.

7. Medicare and Insurance Coverage

HCPCS code E0113 is covered by Medicare. The pricing indicator code for this code is 57, which indicates that it is priced by other carriers. The multiple pricing indicator code is A, which means it is not applicable as HCPCS priced under one methodology. Providers should refer to the Medicare Carriers Manual Reference Section Number 2130 for further guidance on coverage and reimbursement.

8. Examples

Here are five examples of when HCPCS code E0113 should be billed:

1. A patient with a lower leg fracture requires underarm crutches for mobility.
2. An individual with a temporary mobility impairment due to a sprained ankle needs underarm crutches for support.
3. A patient recovering from hip replacement surgery requires underarm crutches during the rehabilitation process.
4. An elderly individual with balance issues needs underarm crutches to prevent falls.
5. A person with a chronic condition affecting their lower extremities requires underarm crutches for long-term use.