E0294 — Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress
HCPCS Level II E-code · short descriptor: “Hosp bed semi-elect w/ mattr”
- 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.
E0294 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $72.80 to $165.00 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $118.94 | — |
| AL | $78.02 | $110.06 |
| AR | $78.02 | $122.09 |
| AZ | $77.50 | $122.09 |
| CA | $74.66 | $118.19 |
| CO | $76.76 | $122.09 |
| CT | $72.80 | $122.09 |
| DC | $74.43 | $115.55 |
| DE | $74.43 | $122.09 |
| FL | $78.02 | $110.06 |
| GA | $78.02 | $110.06 |
| HI | $124.29 | — |
| IA | $76.74 | $122.09 |
| ID | $76.76 | $122.09 |
| IL | $75.89 | $122.09 |
| IN | $75.89 | $120.85 |
| KS | $76.74 | $116.36 |
| KY | $78.02 | $110.06 |
| LA | $78.02 | $122.09 |
| MA | $72.80 | $122.09 |
| MD | $74.43 | $114.42 |
| ME | $72.80 | $122.09 |
| MI | $75.89 | $122.09 |
| MN | $76.74 | $112.02 |
| MO | $76.74 | $110.06 |
| MS | $78.02 | $110.06 |
| MT | $76.76 | $122.09 |
| NC | $78.02 | $110.06 |
| ND | $76.74 | $122.09 |
| NE | $76.74 | $110.06 |
| NH | $72.80 | $122.09 |
| NJ | $74.43 | $110.32 |
| NM | $77.50 | $120.41 |
| NV | $74.66 | $122.09 |
| NY | $74.43 | $122.09 |
| OH | $75.89 | $121.24 |
| OK | $77.50 | $122.09 |
| OR | $74.66 | $122.09 |
| PA | $74.43 | $122.09 |
| PR | $165.00 | — |
| RI | $72.80 | $110.06 |
| SC | $78.02 | $110.06 |
| SD | $76.74 | $122.09 |
| TN | $78.02 | $110.06 |
| TX | $77.50 | $122.09 |
| UT | $76.76 | $122.09 |
| VA | $78.02 | $116.36 |
| VI | $122.09 | — |
| VT | $72.80 | $122.09 |
| WA | $74.66 | $122.09 |
| WI | $75.89 | $115.65 |
| WV | $78.02 | $114.06 |
| WY | $76.76 | $110.06 |
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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