E0250 — Hospital bed, fixed height, with any type side rails, with mattress
HCPCS Level II E-code · short descriptor: “Hosp bed fixed ht w/ mattres”
- Code system
- HCPCS Level II
- Family
- E — Durable medical equipment
- Medicare coverage status
- Special coverage instructions apply
- DMEPOS payment category
- Capped rental
- Prior authorization
- Not on Medicare required-PA list
- Face-to-face & WOPD
- Not on the required list
- MUE unit limit
- 1
- Status
- Active (HCPCS Level II October 2026)
Prior authorization
Not on the Medicare required-PA list (CMS Required Prior Authorization List — 74 items in force on 2026-10-26; 8 more from 2026-10-28; sources: CMS list updated 2026-01-13, CMS-6109-N (91 FR 47972)). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.
Order readiness — what the written order must contain
Every Medicare DMEPOS claim needs a Standard Written Order with all six elements (42 CFR 410.38(d)):
- Beneficiary name or Medicare Beneficiary Identifier (MBI) (42 CFR 410.38(d)(1)(i)(A))
- General description of the item (42 CFR 410.38(d)(1)(i)(B))
- Quantity to be dispensed, if applicable (42 CFR 410.38(d)(1)(i)(C))
- Order date (42 CFR 410.38(d)(1)(i)(D))
- Treating practitioner name or NPI (42 CFR 410.38(d)(1)(i)(E))
- Treating practitioner signature (42 CFR 410.38(d)(1)(i)(F))
Not on the F2F/WOPD list (CMS Required F2F & WOPD List — 83 items in force on 2026-10-26; 22 more from 2026-10-28; sources: CMS list effective 2026-04-13 (91 FR 1250), CMS-6109-N (91 FR 47972)). The standard written order must reach the supplier before claim submission.
Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.
E0250 Medicare fee schedule (October 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $72.80 to $122.46 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $97.66 | — |
| AL | $76.95 | $92.56 |
| AR | $76.95 | $101.57 |
| AZ | $77.21 | $101.57 |
| CA | $74.28 | $97.10 |
| CO | $76.76 | $100.58 |
| CT | $72.80 | $101.57 |
| DC | $73.55 | $92.56 |
| DE | $73.55 | $101.57 |
| FL | $76.95 | $101.57 |
| GA | $76.95 | $93.80 |
| HI | $101.55 | — |
| IA | $76.36 | $101.57 |
| ID | $76.76 | $98.07 |
| IL | $75.00 | $101.57 |
| IN | $75.00 | $101.57 |
| KS | $76.36 | $101.57 |
| KY | $76.95 | $92.56 |
| LA | $76.95 | $93.10 |
| MA | $72.80 | $101.57 |
| MD | $73.55 | $101.57 |
| ME | $72.80 | $101.57 |
| MI | $75.00 | $101.57 |
| MN | $76.36 | $101.57 |
| MO | $76.36 | $101.57 |
| MS | $76.95 | $92.56 |
| MT | $76.76 | $94.56 |
| NC | $76.95 | $97.61 |
| ND | $76.36 | $92.83 |
| NE | $76.36 | $101.57 |
| NH | $72.80 | $101.57 |
| NJ | $73.55 | $98.61 |
| NM | $77.21 | $94.29 |
| NV | $74.28 | $101.57 |
| NY | $73.55 | $92.56 |
| OH | $75.00 | $101.57 |
| OK | $77.21 | $101.57 |
| OR | $74.28 | $96.67 |
| PA | $73.55 | $101.57 |
| PR | $122.46 | — |
| RI | $72.80 | $93.30 |
| SC | $76.95 | $93.93 |
| SD | $76.36 | $92.56 |
| TN | $76.95 | $92.56 |
| TX | $77.21 | $101.57 |
| UT | $76.76 | $101.57 |
| VA | $76.95 | $92.56 |
| VI | $92.56 | — |
| VT | $72.80 | $101.57 |
| WA | $74.28 | $98.68 |
| WI | $75.00 | $98.27 |
| WV | $76.95 | $101.57 |
| WY | $76.76 | $92.74 |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0250 at 1 unit per date of service (absolute). Units above the MUE deny — typically as CO-151. Rationale: Code Descriptor / CPT Instruction.
Common denial codes to watch
Related E-codes
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