E0261 — Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress
HCPCS Level II E-code · short descriptor: “Hosp bed semi-electr w/o mat”
- 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.
E0261 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $72.80 to $161.23 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $120.78 | — |
| AL | $77.86 | $113.32 |
| AR | $77.86 | $125.94 |
| AZ | $77.50 | $125.94 |
| CA | $74.66 | $120.00 |
| CO | $76.76 | $125.94 |
| CT | $72.80 | $125.94 |
| DC | $74.43 | $115.74 |
| DE | $74.43 | $125.94 |
| FL | $77.86 | $113.32 |
| GA | $77.86 | $113.32 |
| HI | $126.24 | — |
| IA | $76.74 | $125.94 |
| ID | $76.76 | $125.94 |
| IL | $75.89 | $125.94 |
| IN | $75.89 | $119.70 |
| KS | $76.74 | $117.13 |
| KY | $77.86 | $113.32 |
| LA | $77.86 | $125.94 |
| MA | $72.80 | $125.94 |
| MD | $74.43 | $115.39 |
| ME | $72.80 | $125.94 |
| MI | $75.89 | $125.94 |
| MN | $76.74 | $113.32 |
| MO | $76.74 | $113.32 |
| MS | $77.86 | $113.32 |
| MT | $76.76 | $125.94 |
| NC | $77.86 | $113.32 |
| ND | $76.74 | $125.94 |
| NE | $76.74 | $113.32 |
| NH | $72.80 | $125.94 |
| NJ | $74.43 | $113.32 |
| NM | $77.50 | $118.65 |
| NV | $74.66 | $125.94 |
| NY | $74.43 | $125.94 |
| OH | $75.89 | $125.94 |
| OK | $77.50 | $125.94 |
| OR | $74.66 | $125.94 |
| PA | $74.43 | $120.84 |
| PR | $161.23 | — |
| RI | $72.80 | $113.32 |
| SC | $77.86 | $113.32 |
| SD | $76.74 | $125.94 |
| TN | $77.86 | $113.32 |
| TX | $77.50 | $125.94 |
| UT | $76.76 | $125.94 |
| VA | $77.86 | $113.46 |
| VI | $125.94 | — |
| VT | $72.80 | $125.94 |
| WA | $74.66 | $125.94 |
| WI | $75.89 | $115.97 |
| WV | $77.86 | $116.88 |
| WY | $76.76 | $113.32 |
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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