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This is a length of wood or aluminum tubing with handle, used to steady the gait of an individual. Length required is related to patient height. Canes must fit the patient at correct hand height from ground when patient is standing.

 
HCPCS Code:

E0100 – Single point cane

 
Category:

Inexpensive/Routinely Purchased

 

Common Diagnosis:

(check for current coding)

 

781.2 Gait Abnormality
340.0 Multiple Sclerosis (MS)
715.9 Osteoarthritis
428.0 Congestive Heart Failure
733.00 Osteoporosis
714.0 Rheumatoid Arthritis
343.9 Cerebral Palsy

 

Coverage Information

Requires a Detailed Written Order

 

• The patient has impaired ambulation and there is a potential for ambulation.


• The patient has a mobility limitation that significantly impairs his/her ability to participate in one or more mobility-related activities of daily living (MRADL) in the home; AND


• The patient is able to safely use the cane or crutch; AND


• The functional mobility deficit can be sufficiently resolved by use of a cane or crutch

 

Documentation Requirements: in addition to the basic Medicare documentation (proof of delivery, AOB, detailed written order, etc.)

 

• The detailed written order form must contain the patient’s name, and a description of the item provided, physician signature and date, and the start date of the order if different than the physician signature date.

 

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