E0256 — Hospital bed, variable height, hi-lo, with any type side rails, without mattress
HCPCS Level II E-code · short descriptor: “Hospital bed var ht w/o matt”
- 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
- Status
- Active (April 2026 HCPCS)
Prior authorization
Not on the Medicare required-PA list as of the January 13, 2026 update (74 items). Medicare Advantage and commercial plans set their own prior-authorization rules for this code — verify per plan before delivery.
E0256 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $71.35 to $117.40 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $82.89 | — |
| AL | $74.17 | $84.13 |
| AR | $74.17 | $91.81 |
| AZ | $75.80 | $91.57 |
| CA | $71.35 | $84.13 |
| CO | $76.76 | $91.81 |
| CT | $72.80 | $91.81 |
| DC | $71.87 | $89.47 |
| DE | $71.87 | $88.80 |
| FL | $74.17 | $89.07 |
| GA | $74.17 | $84.13 |
| HI | $85.84 | — |
| IA | $74.42 | $91.81 |
| ID | $76.76 | $87.38 |
| IL | $73.40 | $91.81 |
| IN | $73.40 | $91.02 |
| KS | $74.42 | $91.81 |
| KY | $74.17 | $84.13 |
| LA | $74.17 | $91.81 |
| MA | $72.80 | $91.81 |
| MD | $71.87 | $91.04 |
| ME | $72.80 | $91.81 |
| MI | $73.40 | $91.81 |
| MN | $74.42 | $87.38 |
| MO | $74.42 | $84.13 |
| MS | $74.17 | $84.13 |
| MT | $76.76 | $91.81 |
| NC | $74.17 | $89.49 |
| ND | $74.42 | $91.81 |
| NE | $74.42 | $90.36 |
| NH | $72.80 | $91.81 |
| NJ | $71.87 | $84.13 |
| NM | $75.80 | $91.81 |
| NV | $71.35 | $91.81 |
| NY | $71.87 | $91.81 |
| OH | $73.40 | $84.24 |
| OK | $75.80 | $91.81 |
| OR | $71.35 | $91.81 |
| PA | $71.87 | $88.57 |
| PR | $117.40 | — |
| RI | $72.80 | $91.81 |
| SC | $74.17 | $84.13 |
| SD | $74.42 | $91.81 |
| TN | $74.17 | $84.13 |
| TX | $75.80 | $91.81 |
| UT | $76.76 | $91.81 |
| VA | $74.17 | $84.13 |
| VI | $91.81 | — |
| VT | $72.80 | $91.81 |
| WA | $71.35 | $91.81 |
| WI | $73.40 | $89.78 |
| WV | $74.17 | $84.13 |
| WY | $76.76 | $91.81 |
Amounts are the Medicare DMEPOS fee-schedule allowables effective April 2026.
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.
Common denial codes to watch
Related E-codes
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