How To Use HCPCS Code E0114

HCPCS code E0114 describes crutches underarm, other than wood, that are adjustable or fixed. This code is used to identify a pair of crutches that come with pads, tips, and handgrips. It falls under the category of enteral supplies not otherwise classified.

1. What is HCPCS E0114?

HCPCS code E0114 is a specific code used in medical coding to identify and bill for a pair of underarm crutches. These crutches are made of materials other than wood and can be adjusted or fixed. They are equipped with pads, tips, and handgrips for the comfort and support of the patient.

2. Official Description

The official description of HCPCS code E0114 is “Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips, and handgrips.” The short description for this code is “Enteral supp not otherwise c.”

3. Procedure

1. To use HCPCS code E0114, the healthcare provider must first assess the patient’s need for underarm crutches. This may involve evaluating the patient’s mobility, balance, and ability to bear weight on their lower extremities.
2. If it is determined that the patient requires underarm crutches, the provider will select a pair of crutches that are suitable for the patient’s height and weight.
3. The provider will then adjust the crutches to the appropriate height for the patient. This is typically done by extending or retracting the telescopic shaft of the crutches.
4. The provider will ensure that the crutches are securely fixed in the adjusted position to prevent any accidents or injuries.
5. Pads, tips, and handgrips will be attached to the crutches to provide comfort and stability for the patient.
6. The patient will be instructed on how to properly use the crutches, including how to position them under their arms and how to distribute their weight while walking.

4. When to use HCPCS code E0114

HCPCS code E0114 should be used when a patient requires underarm crutches that are not made of wood. These crutches can be either adjustable or fixed. The code is applicable when the crutches are provided as a pair and come with pads, tips, and handgrips. It is important to note that this code is specific to enteral supplies not otherwise classified.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0114, healthcare providers need to ensure that the following documentation is included:

• A detailed description of the patient’s condition or injury that necessitates the use of underarm crutches
• The patient’s height and weight, which are used to determine the appropriate size of the crutches
• The date the crutches were provided to the patient
• A record of any adjustments made to the crutches
• A statement indicating that the crutches were provided as a pair and included pads, tips, and handgrips

6. Historical Information and Code Maintenance

HCPCS code E0114 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 E0114 is covered by Medicare and other insurance carriers. 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 that it is not applicable as HCPCS priced under one methodology. Healthcare 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 E0114 should be billed:

1. A patient with a fractured leg requires underarm crutches for mobility.
2. An elderly patient with balance issues needs underarm crutches to assist with walking.
3. A patient recovering from a knee surgery is prescribed underarm crutches for support.
4. A patient with a sprained ankle requires underarm crutches to avoid putting weight on the injured foot.
5. A patient with a temporary disability needs underarm crutches to aid in their recovery.