MyMedi-AI

E0266 — Hospital bed, total electric (head, foot and height adjustments), with any type side rails, without mattress

HCPCS Level II E-code · short descriptor: “Hosp bed total elec 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
Face-to-face & WOPD
Not on the required 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.

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 (April 13, 2026 update — 83 items). The standard written order must reach the supplier before claim submission.

Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.

E0266 Medicare fee schedule (April 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $160.11 to $235.83 depending on state and rural status.

StateNon-ruralRural
AK$217.25
AL$160.11$174.57
AR$160.11$189.13
AZ$160.11$188.18
CA$160.11$189.13
CO$160.11$181.71
CT$160.11$174.61
DC$160.11$189.13
DE$160.11$172.77
FL$160.11$172.77
GA$160.11$172.77
HI$226.77
IA$160.11$187.93
ID$160.11$183.00
IL$160.11$189.13
IN$160.11$189.13
KS$160.11$189.13
KY$160.11$184.08
LA$160.11$178.82
MA$160.11$189.13
MD$160.11$188.60
ME$160.11$189.13
MI$160.11$189.13
MN$160.11$189.13
MO$160.11$175.25
MS$160.11$172.77
MT$160.11$189.13
NC$160.11$187.98
ND$160.11$189.13
NE$160.11$185.22
NH$160.11$189.13
NJ$160.11$189.13
NM$160.11$189.13
NV$160.11$189.13
NY$160.11$189.13
OH$160.11$186.37
OK$160.11$173.85
OR$160.11$184.52
PA$160.11$189.13
PR$235.83
RI$160.11$172.77
SC$160.11$172.77
SD$160.11$189.13
TN$160.11$176.68
TX$160.11$189.13
UT$160.11$189.13
VA$160.11$180.14
VI$189.13
VT$160.11$189.13
WA$160.11$189.13
WI$160.11$189.13
WV$160.11$183.00
WY$160.11$189.13
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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