E0290 — Hospital bed, fixed height, without side rails, with mattress
HCPCS Level II E-code · short descriptor: “Hosp bed fx ht w/o rails w/m”
- 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
- Required (Hospital beds)
- 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))
F2F + WOPD REQUIRED E0290 is on Medicare's Required Face-to-Face & WOPD List (Hospital beds — 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)). Two extra conditions of payment apply:
- Face-to-face encounter (in-person or telehealth) with the treating practitioner within the 6 months before the order date
- Written order communicated to the supplier before delivery (WOPD)
Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.
E0290 Medicare fee schedule (October 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $63.75 to $100.24 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $63.75 | — |
| AL | $70.60 | $77.97 |
| AR | $70.60 | $83.46 |
| AZ | $72.77 | $84.85 |
| CA | $66.06 | $77.97 |
| CO | $72.51 | $84.85 |
| CT | $71.06 | $84.85 |
| DC | $69.43 | $77.97 |
| DE | $69.43 | $84.85 |
| FL | $70.60 | $84.85 |
| GA | $70.60 | $77.97 |
| HI | $68.17 | — |
| IA | $71.73 | $84.85 |
| ID | $72.51 | $81.61 |
| IL | $71.97 | $84.85 |
| IN | $71.97 | $84.85 |
| KS | $71.73 | $84.85 |
| KY | $70.60 | $77.97 |
| LA | $70.60 | $84.85 |
| MA | $71.06 | $84.85 |
| MD | $69.43 | $84.85 |
| ME | $71.06 | $84.85 |
| MI | $71.97 | $84.71 |
| MN | $71.73 | $77.97 |
| MO | $71.73 | $77.97 |
| MS | $70.60 | $77.97 |
| MT | $72.51 | $83.82 |
| NC | $70.60 | $79.36 |
| ND | $71.73 | $84.85 |
| NE | $71.73 | $80.83 |
| NH | $71.06 | $84.85 |
| NJ | $69.43 | $77.97 |
| NM | $72.77 | $77.97 |
| NV | $66.06 | $84.85 |
| NY | $69.43 | $84.18 |
| OH | $71.97 | $77.97 |
| OK | $72.77 | $84.85 |
| OR | $66.06 | $77.97 |
| PA | $69.43 | $84.85 |
| PR | $100.24 | — |
| RI | $71.06 | $84.85 |
| SC | $70.60 | $78.97 |
| SD | $71.73 | $84.85 |
| TN | $70.60 | $77.97 |
| TX | $72.77 | $84.85 |
| UT | $72.51 | $84.85 |
| VA | $70.60 | $77.97 |
| VI | $84.18 | — |
| VT | $71.06 | $84.85 |
| WA | $66.06 | $84.85 |
| WI | $71.97 | $77.97 |
| WV | $70.60 | $77.97 |
| WY | $72.51 | $84.85 |
Unit limit (MUE)
Medicare's Medically Unlikely Edit caps E0290 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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