E0296 — Hospital bed, total electric (head, foot and height adjustments), without side rails, with mattress
HCPCS Level II E-code · short descriptor: “Hosp bed total elect w/ 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
- 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.
E0296 Medicare fee schedule (April 2026)
RR — Monthly rental Capped rental
Medicare allowable ranges from $143.57 to $206.14 depending on state and rural status.
| State | Non-rural | Rural |
|---|---|---|
| AK | $159.35 | — |
| AL | $143.57 | $157.50 |
| AR | $143.57 | $172.63 |
| AZ | $143.57 | $157.50 |
| CA | $143.57 | $158.48 |
| CO | $143.57 | $172.63 |
| CT | $143.57 | $171.50 |
| DC | $143.57 | $172.63 |
| DE | $143.57 | $172.63 |
| FL | $143.57 | $157.50 |
| GA | $143.57 | $157.50 |
| HI | $165.42 | — |
| IA | $143.57 | $172.63 |
| ID | $143.57 | $172.63 |
| IL | $143.57 | $172.63 |
| IN | $143.57 | $166.29 |
| KS | $143.57 | $157.50 |
| KY | $143.57 | $157.50 |
| LA | $143.57 | $172.63 |
| MA | $143.57 | $172.63 |
| MD | $143.57 | $162.30 |
| ME | $143.57 | $172.63 |
| MI | $143.57 | $172.63 |
| MN | $143.57 | $157.50 |
| MO | $143.57 | $157.50 |
| MS | $143.57 | $157.50 |
| MT | $143.57 | $172.63 |
| NC | $143.57 | $172.63 |
| ND | $143.57 | $172.63 |
| NE | $143.57 | $157.50 |
| NH | $143.57 | $172.63 |
| NJ | $143.57 | $158.35 |
| NM | $143.57 | $172.56 |
| NV | $143.57 | $157.50 |
| NY | $143.57 | $172.63 |
| OH | $143.57 | $157.50 |
| OK | $143.57 | $164.02 |
| OR | $143.57 | $172.63 |
| PA | $143.57 | $172.63 |
| PR | $206.14 | — |
| RI | $143.57 | $157.50 |
| SC | $143.57 | $157.50 |
| SD | $143.57 | $172.63 |
| TN | $143.57 | $157.50 |
| TX | $143.57 | $172.63 |
| UT | $143.57 | $172.63 |
| VA | $143.57 | $172.63 |
| VI | $172.63 | — |
| VT | $143.57 | $172.63 |
| WA | $143.57 | $172.63 |
| WI | $143.57 | $157.50 |
| WV | $143.57 | $157.50 |
| WY | $143.57 | $172.63 |
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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