MyMedi-AI

E0300 — Pediatric crib, hospital grade, fully enclosed, with or without top enclosure

HCPCS Level II E-code · short descriptor: “Enclosed ped crib hosp grade”

Code system
HCPCS Level II
Family
E — Durable medical equipment
Medicare coverage status
Carrier judgment — coverage decided by the DME MAC
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 2026-10-25; 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 2026-10-25; 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.

E0300 Medicare fee schedule (October 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $319.91 to $369.16 depending on state and rural status.

StateNon-ruralRural
AK$334.29—
AL$319.91$334.29
AR$319.91$334.29
AZ$319.91$334.29
CA$319.91$334.29
CO$319.91$334.29
CT$319.91$334.29
DC$319.91$334.29
DE$319.91$334.29
FL$319.91$334.29
GA$319.91$334.29
HI$334.29—
IA$319.91$334.29
ID$319.91$334.29
IL$319.91$334.29
IN$319.91$334.29
KS$319.91$334.29
KY$319.91$334.29
LA$319.91$334.29
MA$319.91$334.29
MD$319.91$334.29
ME$319.91$334.29
MI$319.91$334.29
MN$319.91$334.29
MO$319.91$334.29
MS$319.91$334.29
MT$319.91$334.29
NC$319.91$334.29
ND$319.91$334.29
NE$319.91$334.29
NH$319.91$334.29
NJ$319.91$334.29
NM$319.91$334.29
NV$319.91$334.29
NY$319.91$334.29
OH$319.91$334.29
OK$319.91$334.29
OR$319.91$334.29
PA$319.91$334.29
PR$369.16—
RI$319.91$334.29
SC$319.91$334.29
SD$319.91$334.29
TN$319.91$334.29
TX$319.91$334.29
UT$319.91$334.29
VA$319.91$334.29
VI$334.29—
VT$319.91$334.29
WA$319.91$334.29
WI$319.91$334.29
WV$319.91$334.29
WY$319.91$334.29
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 E0300 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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