Patient has a mobility impairment but potential for
For canes and crutches to be covered by Medicare, ALL
of the following criteria (1-3) must be met.
- The beneficiary has a mobility limitation that significantly impairs their ability to
participate in one or more mobility-related activities of daily living (MRADL) in the home (i.e.- toileting, feeding, dressing, grooming, and bathing performs in
customary locations in the home)
A mobility limitation is
- Prevents the beneficiary from accomplishing their MRADL entirely,
- Places the beneficiary at reasonably determined heightened risk of morbidity or mortality
secondary to the attempts to perform an MRADL; OR
- Prevents the beneficiary from completing the MRADL within a reasonable time
2. The beneficiary is able to safely use the cane or crutch
3. The functional mobility deficit can be sufficiently resolved
by use of cane of crutch
Required Documentation for
- Prescription – Written or typed and signed by the
- Detailed Written
Order – Must be signed and dated by physician.
Notes – Including information stating why equipment is medically necessary (must comply with
Qualifications listed above).
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Canes and Crutches LCD