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See a sample rate comparisonHCPCS E0116 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each
| Key Fact | Detail |
|---|---|
| Service Type | Durable Medical Equipment Walking Aids and Attachments |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for E0116 |
National average reimbursement for HCPCS E0116 by major payers:
$20.80
$19.16
$21.07
$42.66
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HCPCS E0116
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$55.63Published rateNortheast Georgia Medical Center, Inc.
Gainesville Radiology Group
$16.44Published rateFloyd Healthcare Management Inc, Atrium Health Floyd Medical Center
Floyd Healthcare Management, Inc.
$12.38Published ratePatrick Reidy
Florida Gulf Coast Ear, Nose And Throat, LLC
$10.65Published rateJenkins County Hospital LLC, Optim Medical Center - Jenkins
Hospital Authority Of Jenkins County Dba Jenkins County Medical Center
$2.98Published rate
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See a sample payer proposalHCPCS E0116 vs. Other Walking Aids and Attachments Codes
The HCPCS E0116 code is part of the Durable Medical Equipment services used for Walking Aids and Attachments. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS E0116 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| E0114-HCPCS | Low | Crutches underarm, other than wood, adjustable or fixed, pair, with pads, tips and handgrips |
| E0116-HCPCS | Low | Crutch, underarm, other than wood, adjustable or fixed, with pad, tip, handgrip, with or without shock absorber, each |
| E0117-HCPCS | Low | Crutch, underarm, articulating, spring assisted, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS E0116. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the E0116 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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