E0265 — Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress
HCPCS Level II E-code · short descriptor: “Hosp bed total electr w/ 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.
E0265 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $184.01 to $267.38 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $215.80 | — |
| AL | $184.01 | $196.36 |
| AR | $184.01 | $214.77 |
| AZ | $184.01 | $214.77 |
| CA | $184.01 | $214.56 |
| CO | $184.01 | $214.77 |
| CT | $184.01 | $211.02 |
| DC | $184.01 | $214.77 |
| DE | $184.01 | $214.77 |
| FL | $184.01 | $196.36 |
| GA | $184.01 | $196.36 |
| HI | $224.39 | — |
| IA | $184.01 | $214.77 |
| ID | $184.01 | $214.77 |
| IL | $184.01 | $214.77 |
| IN | $184.01 | $211.44 |
| KS | $184.01 | $214.77 |
| KY | $184.01 | $201.09 |
| LA | $184.01 | $214.77 |
| MA | $184.01 | $214.77 |
| MD | $184.01 | $211.51 |
| ME | $184.01 | $214.77 |
| MI | $184.01 | $205.39 |
| MN | $184.01 | $197.81 |
| MO | $184.01 | $197.67 |
| MS | $184.01 | $206.27 |
| MT | $184.01 | $214.77 |
| NC | $184.01 | $214.77 |
| ND | $184.01 | $214.77 |
| NE | $184.01 | $207.32 |
| NH | $184.01 | $211.53 |
| NJ | $184.01 | $210.00 |
| NM | $184.01 | $206.04 |
| NV | $184.01 | $196.36 |
| NY | $184.01 | $214.77 |
| OH | $184.01 | $214.77 |
| OK | $184.01 | $205.30 |
| OR | $184.01 | $214.77 |
| PA | $184.01 | $214.77 |
| PR | $267.38 | — |
| RI | $184.01 | $196.36 |
| SC | $184.01 | $196.36 |
| SD | $184.01 | $214.77 |
| TN | $184.01 | $202.45 |
| TX | $184.01 | $214.77 |
| UT | $184.01 | $212.72 |
| VA | $184.01 | $214.77 |
| VI | $214.77 | — |
| VT | $184.01 | $214.77 |
| WA | $184.01 | $214.77 |
| WI | $184.01 | $212.93 |
| WV | $184.01 | $201.48 |
| WY | $184.01 | $214.77 |
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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