E0295 — Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress
HCPCS Level II E-code · short descriptor: “Hosp bed semi-elect 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.
E0295 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $72.80 to $126.68 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $121.18 | — |
| AL | $77.86 | $108.31 |
| AR | $77.86 | $120.04 |
| AZ | $77.50 | $120.04 |
| CA | $74.66 | $120.04 |
| CO | $76.76 | $120.04 |
| CT | $72.80 | $108.90 |
| DC | $74.43 | $115.52 |
| DE | $74.43 | $120.04 |
| FL | $77.86 | $108.31 |
| GA | $77.86 | $108.31 |
| HI | $126.68 | — |
| IA | $76.74 | $120.04 |
| ID | $76.76 | $120.04 |
| IL | $75.89 | $120.04 |
| IN | $75.89 | $108.71 |
| KS | $76.74 | $108.31 |
| KY | $77.86 | $108.31 |
| LA | $77.86 | $120.04 |
| MA | $72.80 | $120.04 |
| MD | $74.43 | $108.90 |
| ME | $72.80 | $120.04 |
| MI | $75.89 | $120.04 |
| MN | $76.74 | $108.31 |
| MO | $76.74 | $108.31 |
| MS | $77.86 | $108.31 |
| MT | $76.76 | $120.04 |
| NC | $77.86 | $108.31 |
| ND | $76.74 | $120.04 |
| NE | $76.74 | $108.31 |
| NH | $72.80 | $120.04 |
| NJ | $74.43 | $110.30 |
| NM | $77.50 | $108.57 |
| NV | $74.66 | $120.04 |
| NY | $74.43 | $120.04 |
| OH | $75.89 | $120.04 |
| OK | $77.50 | $120.04 |
| OR | $74.66 | $120.04 |
| PA | $74.43 | $120.04 |
| PR | $100.08 | — |
| RI | $72.80 | $108.31 |
| SC | $77.86 | $108.31 |
| SD | $76.74 | $120.04 |
| TN | $77.86 | $108.31 |
| TX | $77.50 | $120.04 |
| UT | $76.76 | $120.04 |
| VA | $77.86 | $108.31 |
| VI | $120.04 | — |
| VT | $72.80 | $120.04 |
| WA | $74.66 | $116.49 |
| WI | $75.89 | $108.31 |
| WV | $77.86 | $109.10 |
| WY | $76.76 | $108.31 |
Common denial codes to watch
Related E-codes
Bill E0295 with confidence
MyMedi-AI scrubs whole claims against NCCI pairs, MUE limits, modifier rules, and PA flags before you submit — built for DME teams, no PHI stored on our servers.
Start free trial Run a CMS-0057-F readiness checkPrefer DIY compliance? Self-audit documentation kits for DME suppliers →
Building an AI agent? Try the agent API in the playground — free PA-required lookups, E0295 included, and starter credits via POST /bot-marketplace/register.