HCPCS E0265: Hospital Bed, electric, with type side rails with mattress

Learn how to properly use and code HCPCS code E0265 with our short guide that comes complete with the code's documentation and billing requirements.

Use Code

Frequently asked questions

Yes. HCPCS E0265 is a covered code under Medicare's hospital bed benefit. However, the height adjustment feature that makes it "total electric" is considered a non-covered convenience feature. The supplier can bill E0265, and Medicare will pay the amount for a semi-electric bed (E0260). The patient is responsible for the difference in cost.

No. You must use the combined code that includes the bed, mattress, and side rails (e.g., E0265 if total electric). Separate billing for those accessories is not allowed when included in the bed code.

The supplier should obtain a signed ABN from the beneficiary. They may then bill the full E0265 code, but must also indicate the medically necessary service (E0260) with appropriate modifiers (like GK for the upgrade, or GA for the ABN on the E0265 line). The patient would be responsible for the difference in cost between the semi-electric (covered) and the total electric (non-covered/upgrade) features.