Medicare looks for medical conditions that require positioning not possible in an ordinary bed, head-of-bed elevation greater than 30 degrees, traction equipment, or frequent position changes that cannot be achieved without powered adjustments. The record must link the diagnosis to the need for the hospital bed and meet the local coverage determination.

HCPCS Code E0260: Rental Semi-Electric Hospital Bed with Side Rails and Mattress
Bill E0260 right every time. Learn coverage, documentation, modifiers, and billing steps for a semi-electric bed rental with rails and mattress.
Frequently asked questions
Most home hospital beds are close to a twin width but use their own standardized frames, rails, and mattresses. Length and width vary by model, and extra wide hospital bed frames are available when a patient weight capacity greater than standard is needed.
E0260 is the semi-electric bed rental with rails and with mattress. E0261 describes the same semi-electric frame with rails but without mattress, which allows separate billing of a different or specialized mattress when medically necessary.
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