MyMedi-AI

E0305 — Bed side rails, half length

HCPCS Level II E-code · short descriptor: “Rails bed side half length”

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
2
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.

E0305 Medicare fee schedule (October 2026)

RR — Monthly rental Capped rental

Medicare allowable ranges from $12.31 to $22.32 depending on state and rural status.

StateNon-ruralRural
AK$21.47—
AL$13.74$16.65
AR$13.74$16.65
AZ$13.48$18.17
CA$12.77$18.28
CO$13.14$17.83
CT$13.54$18.28
DC$12.47$18.28
DE$12.47$18.28
FL$13.74$16.65
GA$13.74$16.65
HI$22.32—
IA$13.77$18.28
ID$13.14$17.78
IL$13.49$18.28
IN$13.49$18.28
KS$13.77$18.28
KY$13.74$18.28
LA$13.74$16.65
MA$13.54$18.28
MD$12.47$17.28
ME$13.54$18.28
MI$13.49$16.77
MN$13.77$18.24
MO$13.77$18.28
MS$13.74$18.28
MT$13.14$18.28
NC$13.74$16.65
ND$13.77$16.67
NE$13.77$18.28
NH$13.54$18.28
NJ$12.47$16.65
NM$13.48$18.28
NV$12.77$18.28
NY$12.47$16.65
OH$13.49$17.74
OK$13.48$18.28
OR$12.77$16.65
PA$12.47$17.19
PR$12.31—
RI$13.54$17.29
SC$13.74$16.65
SD$13.77$17.50
TN$13.74$16.65
TX$13.48$18.28
UT$13.14$17.59
VA$13.74$18.28
VI$18.58—
VT$13.54$18.28
WA$12.77$18.28
WI$13.49$18.28
WV$13.74$16.65
WY$13.14$18.28
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 E0305 at 2 units per date of service (clinical). Units above the MUE deny — typically as CO-151. Rationale: Clinical: Data.

Common denial codes to watch

Related E-codes

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