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E0297 — Hospital bed, total electric (head, foot and height adjustments), without side rails, without mattress

HCPCS Level II E-code · short descriptor: “Hosp bed total elect w/o mat”

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.

E0297 Medicare fee schedule (April 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $126.69 to $180.63 depending on state and rural status.

StateNon-ruralRural
AK$147.48
AL$126.69$136.78
AR$126.69$149.74
AZ$126.69$148.38
CA$126.69$146.66
CO$126.69$149.74
CT$126.69$138.59
DC$126.69$149.74
DE$126.69$136.78
FL$126.69$136.78
GA$126.69$136.78
HI$153.33
IA$126.69$149.74
ID$126.69$149.10
IL$126.69$149.74
IN$126.69$145.74
KS$126.69$149.74
KY$126.69$139.47
LA$126.69$149.74
MA$126.69$149.74
MD$126.69$145.20
ME$126.69$149.74
MI$126.69$144.90
MN$126.69$144.11
MO$126.69$138.18
MS$126.69$136.78
MT$126.69$149.74
NC$126.69$149.74
ND$126.69$149.74
NE$126.69$145.35
NH$126.69$148.58
NJ$126.69$149.74
NM$126.69$149.74
NV$126.69$149.74
NY$126.69$149.74
OH$126.69$136.78
OK$126.69$145.80
OR$126.69$149.74
PA$126.69$149.74
PR$180.63
RI$126.69$136.78
SC$126.69$136.78
SD$126.69$149.74
TN$126.69$136.78
TX$126.69$149.74
UT$126.69$149.74
VA$126.69$149.74
VI$149.74
VT$126.69$149.74
WA$126.69$149.74
WI$126.69$147.43
WV$126.69$136.78
WY$126.69$149.74
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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