MyMedi-AI

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
Face-to-face & WOPD
Not on the required list
MUE unit limit
1
Status
Active (HCPCS Level II October 2026)

Prior authorization

Not on the Medicare required-PA list (CMS Required Prior Authorization List — 74 items in force on 2026-10-26; 8 more from 2026-10-28; sources: CMS list updated 2026-01-13, CMS-6109-N (91 FR 47972)). 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 (CMS Required F2F & WOPD List — 83 items in force on 2026-10-26; 22 more from 2026-10-28; sources: CMS list effective 2026-04-13 (91 FR 1250), CMS-6109-N (91 FR 47972)). The standard written order must reach the supplier before claim submission.

Blank requirements checklist only — MyMedi-AI never collects or stores completed orders.

E0297 Medicare fee schedule (October 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 October 2026 (CMS DMEPOS Fee Schedule October 2026 (DME26-D)). 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.

Unit limit (MUE)

Medicare's Medically Unlikely Edit caps E0297 at 1 unit per date of service (absolute). Units above the MUE deny — typically as CO-151. Rationale: Code Descriptor / CPT Instruction.

Common denial codes to watch

Related E-codes

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