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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)
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))

F2F + WOPD REQUIRED E0290 is on Medicare's Required Face-to-Face & WOPD List (Hospital beds — list effective 2026-04-13, 83 items). 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 (April 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $63.75 to $100.24 depending on state and rural status.

StateNon-ruralRural
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
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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