E0251 — Hospital bed, fixed height, with any type side rails, without mattress
HCPCS Level II E-code · short descriptor: “Hosp bed fixd ht w/o 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.
E0251 Medicare fee schedule (October 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $67.51 to $100.46 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $87.69 | — |
| AL | $71.12 | $77.35 |
| AR | $71.12 | $84.54 |
| AZ | $72.34 | $84.54 |
| CA | $69.09 | $84.54 |
| CO | $70.70 | $83.09 |
| CT | $69.93 | $84.54 |
| DC | $67.51 | $84.54 |
| DE | $67.51 | $84.54 |
| FL | $71.12 | $84.54 |
| GA | $71.12 | $78.22 |
| HI | $91.06 | — |
| IA | $73.81 | $80.21 |
| ID | $70.70 | $82.30 |
| IL | $72.80 | $84.54 |
| IN | $72.80 | $84.54 |
| KS | $73.81 | $79.35 |
| KY | $71.12 | $77.35 |
| LA | $71.12 | $81.50 |
| MA | $69.93 | $84.54 |
| MD | $67.51 | $84.54 |
| ME | $69.93 | $84.54 |
| MI | $72.80 | $84.54 |
| MN | $73.81 | $84.54 |
| MO | $73.81 | $84.54 |
| MS | $71.12 | $84.19 |
| MT | $70.70 | $79.74 |
| NC | $71.12 | $84.54 |
| ND | $73.81 | $80.94 |
| NE | $73.81 | $77.35 |
| NH | $69.93 | $84.54 |
| NJ | $67.51 | $80.60 |
| NM | $72.34 | $77.35 |
| NV | $69.09 | $84.54 |
| NY | $67.51 | $80.57 |
| OH | $72.80 | $83.17 |
| OK | $72.34 | $77.35 |
| OR | $69.09 | $77.35 |
| PA | $67.51 | $84.54 |
| PR | $100.46 | — |
| RI | $69.93 | $84.54 |
| SC | $71.12 | $77.35 |
| SD | $73.81 | $84.54 |
| TN | $71.12 | $78.38 |
| TX | $72.34 | $84.54 |
| UT | $70.70 | $84.54 |
| VA | $71.12 | $77.37 |
| VI | $80.55 | — |
| VT | $69.93 | $84.54 |
| WA | $69.09 | $81.48 |
| WI | $72.80 | $81.93 |
| WV | $71.12 | $81.16 |
| WY | $70.70 | $84.54 |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0251 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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