MyMedi-AI

E0280 — Bed cradle, any type

HCPCS Level II E-code · short descriptor: “Bed cradle”

Code system
HCPCS Level II
Family
E — Durable medical equipment
Medicare coverage status
Carrier judgment — coverage decided by the DME MAC
DMEPOS payment category
Inexpensive or routinely purchased
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 2026-10-25; 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 2026-10-25; 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.

E0280 Medicare fee schedule (October 2026)

NU — New purchase Inexpensive or routinely purchased

Medicare allowable ranges from $38.17 to $65.71 depending on state and rural status.

StateNon-ruralRural
AK$50.90—
AL$38.17$44.88
AR$38.17$44.88
AZ$38.91$39.89
CA$38.54$44.88
CO$39.50$44.88
CT$38.54$39.89
DC$39.57$44.14
DE$39.57$44.14
FL$38.17$44.14
GA$38.17$44.88
HI$54.09—
IA$39.52$44.88
ID$39.50$43.43
IL$39.45$44.88
IN$39.45$44.88
KS$39.52$44.88
KY$38.17$39.89
LA$38.17$44.88
MA$38.54$43.88
MD$39.57$39.89
ME$38.54$43.88
MI$39.45$44.88
MN$39.52$39.89
MO$39.52$44.88
MS$38.17$39.89
MT$39.50$44.88
NC$38.17$39.89
ND$39.52$44.88
NE$39.52$44.88
NH$38.54$43.88
NJ$39.57$44.14
NM$38.91$39.89
NV$38.54$39.89
NY$39.57$44.88
OH$39.45$39.89
OK$38.91$39.89
OR$38.54$44.88
PA$39.57$44.14
PR$65.71—
RI$38.54$39.89
SC$38.17$44.88
SD$39.52$44.88
TN$38.17$44.88
TX$38.91$44.88
UT$39.50$44.88
VA$38.17$39.89
VI$46.93—
VT$38.54$43.88
WA$38.54$44.88
WI$39.45$44.88
WV$38.17$39.89
WY$39.50$44.88

RR — Monthly rental Inexpensive or routinely purchased

Medicare allowable ranges from $3.82 to $7.52 depending on state and rural status.

StateNon-ruralRural
AK$5.11—
AL$3.82$4.67
AR$3.82$4.67
AZ$3.89$4.67
CA$3.85$4.67
CO$3.95$4.67
CT$3.85$4.29
DC$3.96$4.67
DE$3.96$4.67
FL$3.82$4.43
GA$3.82$4.67
HI$5.42—
IA$3.95$4.50
ID$3.95$4.35
IL$3.95$4.67
IN$3.95$4.67
KS$3.95$4.67
KY$3.82$4.29
LA$3.82$4.67
MA$3.85$4.38
MD$3.96$4.67
ME$3.85$4.38
MI$3.95$4.67
MN$3.95$4.29
MO$3.95$4.49
MS$3.82$4.29
MT$3.95$4.67
NC$3.82$4.29
ND$3.95$4.64
NE$3.95$4.67
NH$3.85$4.38
NJ$3.96$4.67
NM$3.89$4.29
NV$3.85$4.67
NY$3.96$4.67
OH$3.95$4.29
OK$3.89$4.29
OR$3.85$4.67
PA$3.96$4.67
PR$7.52—
RI$3.85$4.29
SC$3.82$4.67
SD$3.95$4.64
TN$3.82$4.67
TX$3.89$4.67
UT$3.95$4.67
VA$3.82$4.34
VI$5.06—
VT$3.85$4.38
WA$3.85$4.67
WI$3.95$4.67
WV$3.82$4.29
WY$3.95$4.64

UE — Used purchase Inexpensive or routinely purchased

Medicare allowable ranges from $28.63 to $49.28 depending on state and rural status.

StateNon-ruralRural
AK$38.17—
AL$28.63$33.66
AR$28.63$33.66
AZ$29.18$29.92
CA$28.91$33.66
CO$29.63$33.66
CT$28.91$29.92
DC$29.68$33.10
DE$29.68$33.10
FL$28.63$33.10
GA$28.63$33.66
HI$40.57—
IA$29.64$33.66
ID$29.63$32.57
IL$29.59$33.66
IN$29.59$33.66
KS$29.64$33.66
KY$28.63$29.92
LA$28.63$33.66
MA$28.91$32.91
MD$29.68$29.92
ME$28.91$32.91
MI$29.59$33.66
MN$29.64$29.92
MO$29.64$33.66
MS$28.63$29.92
MT$29.63$33.66
NC$28.63$29.92
ND$29.64$33.66
NE$29.64$33.66
NH$28.91$32.91
NJ$29.68$33.10
NM$29.18$29.92
NV$28.91$29.92
NY$29.68$33.66
OH$29.59$29.92
OK$29.18$29.92
OR$28.91$33.66
PA$29.68$33.10
PR$49.28—
RI$28.91$29.92
SC$28.63$33.66
SD$29.64$33.66
TN$28.63$33.66
TX$29.18$33.66
UT$29.63$33.66
VA$28.63$29.92
VI$35.19—
VT$28.91$32.91
WA$28.91$33.66
WI$29.59$33.66
WV$28.63$29.92
WY$29.63$33.66
Amounts are the Medicare DMEPOS fee-schedule allowables effective October 2026 (CMS DMEPOS Fee Schedule October 2026 (DME26-D)). 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.

Unit limit (MUE)

Medicare's Medically Unlikely Edit caps E0280 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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