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A4637 Repl tip cane/crutch/walker

A Codes

Also known as: crutch tip, walker tip, rubber tip, ferrule

A replacement ferule or tip for the base of a cane, crutch, or walker that contacts the ground. Provides friction and stability for safe ambulation.

In Plain Language

rubber tip for bottom of crutch or cane; foot pad replacement for walking aid

Clinical Context

Worn tips reduce traction and increase fall risk, making replacement essential for safe ambulation. Worn tips should be replaced every 6-12 months depending on use.

RVU Information

CPT A4637 does not have a physician work RVU assigned by CMS. This is typical for supply, drug, and equipment codes — reimbursement is based on Average Sales Price (ASP), fee schedules, or payer contracts rather than the RVU system.

Billing & Documentation

HCPCS A-codes cover medical supplies, equipment, and transport services. Documentation must establish medical necessity and include a physician order. For durable medical equipment (DME), a Certificate of Medical Necessity (CMN) or detailed written order may be required.

Specialties

OrthopedicsPhysical MedicineGeriatrics

Frequently Asked Questions

What is CPT code A4637?

CPT A4637 (Repl tip cane/crutch/walker) is a A Codes code. A replacement ferule or tip for the base of a cane, crutch, or walker that contacts the ground. Provides friction and stability for safe ambulation.

Does Medicare cover A4637?

Medicare coverage for A4637 depends on medical necessity and applicable Local Coverage Determinations (LCDs). Worn tips reduce traction and increase fall risk, making replacement essential for safe ambulation. Worn tips should be replaced every 6-12 months depending on use. A physician order is typically required.

When is CPT A4637 used?

Worn tips reduce traction and increase fall risk, making replacement essential for safe ambulation. Worn tips should be replaced every 6-12 months depending on use.

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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.