MyMedi-AI

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.

StateNon-ruralRural
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
Amounts are the Medicare DMEPOS fee-schedule allowables effective October 2026 (CMS DMEPOS Fee Schedule October 2026 (DME26-D)). Medicare typically pays 80% of the allowable after the Part B deductible; the patient owes 20%. A 2% sequestration reduction applies to the Medicare share. Former competitive-bidding-area adjustments and non-continental rates can differ — verify with your DME MAC.

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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