{"id":177089,"date":"2026-08-13T07:51:10","date_gmt":"2026-08-13T07:51:10","guid":{"rendered":"https:\/\/pabau.com\/?p=177089"},"modified":"2026-08-13T09:33:30","modified_gmt":"2026-08-13T09:33:30","slug":"hcpcs-code-e0292","status":"publish","type":"post","link":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-e0292\/","title":{"rendered":"HCPCS code E0292: Variable height hospital bed billing guide"},"content":{"rendered":"\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"headline\":\"HCPCS code E0292: Variable height hospital bed billing guide\",\"description\":\"Reference for HCPCS code E0292 (hospital bed, variable height, hi-lo, without side rails, with mattress): coverage criteria under LCD L33820, documentation, modifiers, capped rental payment, and related bed codes.\",\"url\":\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-e0292\/\",\"audience\":{\"@type\":\"MedicalAudience\",\"audienceType\":\"Clinician\"},\"reviewedBy\":{\"@type\":\"Person\",\"name\":\"Dr Vanja Kitanova\",\"jobTitle\":\"Medical Reviewer\",\"affiliation\":{\"@type\":\"Organization\",\"name\":\"Pabau\"},\"knowsAbout\":[\"Medical Coding\",\"Clinical Documentation\",\"Healthcare Billing\",\"Clinical Safety\"],\"sameAs\":\"https:\/\/pabau.com\/blog\/author\/vanja\/\"},\"datePublished\":\"2026-01-15\",\"dateModified\":\"2026-08-13\"}<\/script>\n\n\n        <div id=\"key_takeaways\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/12\/Key-Takeaways-Icon.svg\" alt=\"Key takeaways\" height=\"42\" width=\"42\">\n                                <h3>Key takeaways<\/h3>\n            <\/div>\n            <div class=\"list\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>HCPCS code E0292 is a hospital bed, variable height, hi-lo, without side rails, with mattress, paid as capped rental DME under Medicare Part B.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Side rails are not part of E0292. They bill separately as E0305 (half length) or E0310 (full length). A hi-lo bed with rails built into the frame is E0255.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Coverage takes two findings. The patient must meet a criterion for a fixed height bed and need a bed height a fixed frame cannot provide for transfers.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>CMS retired CMNs and DIFs for dates of service on or after January 1, 2023. A Standard Written Order now carries the order requirement.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>E0292 is not on the face-to-face and written order prior to delivery list. E0290, E0301, and E0304 were added to it on August 12, 2024.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Practice management software like Pabau keeps the order, the clinical notes behind it, and the delivery record on one patient file for audits.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<p class=\"wp-block-paragraph\">HCPCS code E0292 is a variable height, hi-lo hospital bed with a mattress and <em>without<\/em> side rails. Once rails are part of the frame, the bed becomes E0255. Rails supplied as separate items get their own codes, E0305 and E0310.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That one distinction sets up everything else about the code, from the coverage test to what the medical record has to prove. Here is how each piece works.<\/p>\n\n\n\n<h2 id=\"h-what-hcpcs-code-e0292-covers\" class=\"wp-block-heading\">What HCPCS code E0292 covers<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The official long descriptor for HCPCS code E0292 is: <strong>Hospital bed, variable height, hi-lo, without side rails, with mattress.<\/strong> It is a Level II HCPCS code maintained by <a href=\"https:\/\/www.cms.gov\/medicare\/coding-billing\/healthcare-common-procedure-system\" target=\"_blank\" rel=\"nofollow noopener\">the Centers for Medicare &amp; Medicaid Services (CMS)<\/a>. Level II codes bill durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The frame raises and lowers as a whole, which is the hi-lo mechanism, and a mattress comes with it. Drop the height adjustment and the bed is fixed height, coded E0290 or <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-e0291\/\">E0291<\/a>. Drop the mattress and it is <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-e0293\/\">E0293<\/a>.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Field<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Detail<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Code<\/td>\n<td style=\"padding:12px 16px;color:#374151\">E0292<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Official descriptor<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Hospital bed, variable height, hi-lo, without side rails, with mattress<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Code type<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Level II HCPCS<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Equipment category<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Durable medical equipment, hospital beds and associated supplies (E0250 to E0373)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Side rails<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Not included in the descriptor. Bill E0305 (half length) or E0310 (full length) separately<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Payment method<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Capped rental under Medicare Part B (DMEPOS fee schedule)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Coverage policy<\/td>\n<td style=\"padding:12px 16px;color:#374151\">DME MAC local coverage determination L33820, hospital beds and accessories<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Maintained by<\/td>\n<td style=\"padding:12px 16px;color:#374151\">CMS, on the annual HCPCS update cycle<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Nothing in that descriptor mentions rails, and the omission is deliberate.<\/p>\n\n\n\n<h2 id=\"h-why-side-rails-decide-between-e0292-and-e0255\" class=\"wp-block-heading\">Why side rails decide between E0292 and E0255<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Rails are separate items with their own codes: E0305 for half length rails and <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-e0310\/\">E0310<\/a> for full length rails.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The E0250 to E0266 family covers the same four bed types with rails written into the descriptor. E0255 is the hi-lo bed with any type side rails and a mattress. That descriptor gets pasted onto E0292 more often than any other error in this family.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">So the decision comes down to the equipment itself. If rails are an integral part of the frame you deliver, the with-rails code describes that bed. If the frame has no rails and the patient&#8217;s condition calls for them, E0292 plus E0305 or E0310 is the accurate pairing.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Rails are covered as an accessory when the patient&#8217;s condition requires them and the bed they attach to is itself covered. Above E0301 the pattern flips again. The heavy duty extra wide beds, E0301 through <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-e0304\/\">E0304<\/a>, carry side rails in the descriptor, so no rail code is added.<\/p>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Photograph the delivered bed at setup and file the image with the delivery note. A picture of the frame, bare or with rails fitted, settles the E0292 versus E0255 question later. Reviewers do ask what was actually delivered to the home.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-why-e0292-coverage-takes-two-findings\" class=\"wp-block-heading\">Why E0292 coverage takes two findings<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Medicare pays for E0292 only when the record shows the patient needs a height-adjustable bed. The DME MAC local coverage determination for hospital beds and accessories (L33820) sets a two-part test, and both parts have to be met.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">First, the patient has to meet at least one criterion for a fixed height hospital bed:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>The patient&#8217;s medical condition requires positioning of the body in ways not feasible in an ordinary bed. Elevating the head or upper body by less than 30 degrees does not usually justify a hospital bed.<\/li>\n\n\n\n<li>The patient requires body positioning that an ordinary bed cannot provide in order to relieve pain.<\/li>\n\n\n\n<li>The patient needs the head of the bed elevated more than 30 degrees most of the time. Congestive heart failure, chronic pulmonary disease, and aspiration problems are the usual reasons.<\/li>\n\n\n\n<li>The patient requires traction equipment that can only be attached to a hospital bed.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Second, on top of one of those, a variable height bed needs its own finding. The patient must require a bed height a fixed height hospital bed cannot provide. The reason has to be transfers, to a chair, a wheelchair, or a standing position.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That second finding is where E0292 claims most often fail review. Notes that justify a hospital bed in general, with nothing said about transfer height, support E0290 instead. The reviewer downgrades the code and recovers the difference.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The diagnosis driving medical necessity belongs in the treating practitioner&#8217;s own records, not only on the order. Conditions that commonly support E0292 include advanced COPD, severe congestive heart failure, post-surgical recovery that requires elevation, and musculoskeletal disease that makes transfers unsafe.<\/p>\n\n\n\n<h2 id=\"h-documentation-requirements-for-billing-e0292\" class=\"wp-block-heading\">Documentation requirements for billing E0292<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Incomplete documentation is the leading cause of hospital bed denials, and most of it is a filing problem rather than a clinical one. <a href=\"https:\/\/pabau.com\/features\/patient-intake-software\/\">Digital forms<\/a> and structured records make an audit-ready package far easier to keep for every DME claim.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/hcpcs-code-e0292\/digital-forms.webp\" alt=\"Pabau digital intake form open on a patient record\"\/><figcaption class=\"wp-element-caption\"><em>Digital intake forms capture the transfer limitation and practitioner findings that an E0292 claim has to prove.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Standard Written Order (SWO):<\/strong> Required before the claim goes out. It names the patient, the order date, the item, the quantity where relevant, and the treating practitioner, with that practitioner&#8217;s NPI and signature.<\/li>\n\n\n\n<li><strong>Face-to-face encounter and medical records:<\/strong> The practitioner&#8217;s notes have to support the L33820 criteria, including the transfer finding. For codes on the face-to-face list, the encounter must fall within the six months before the order date.<\/li>\n\n\n\n<li><strong>Proof of delivery (POD):<\/strong> A delivery receipt signed by the patient or their representative. Incomplete proof of delivery is a frequent audit finding on bed claims.<\/li>\n\n\n\n<li><strong>Continued medical need and continued use:<\/strong> Capped rental months need evidence that the patient still has the bed and still needs it.<\/li>\n\n\n\n<li><strong>Equipment detail:<\/strong> Record the make, model, and features delivered, including the mattress and any rails billed under E0305 or E0310. This is what proves the equipment matches the code.<\/li>\n<\/ul>\n\n\n\n<h3 id=\"h-forms-you-can-stop-filing\" class=\"wp-block-heading\">Forms you can stop filing<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">One item on the old checklist is gone. CMS discontinued Certificates of Medical Necessity and DME Information Forms for dates of service from January 1, 2023, in <a href=\"https:\/\/www.cms.gov\/files\/document\/se22002-elimination-certificates-medical-necessity-durable-medical-equipment-information-forms.pdf\" target=\"_blank\" rel=\"nofollow noopener\">MLN Matters article SE22002<\/a>. A file still built around a CMN, or around the older Detailed Written Order, is documenting to a retired standard.<\/p>\n\n\n\n<h3 id=\"h-how-long-to-keep-the-file\" class=\"wp-block-heading\">How long to keep the file<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Keep the whole package for the duration of the rental and for the CMS retention period after the last date of service. Standardized <a href=\"https:\/\/pabau.com\/blog\/medical-forms-at-your-healthcare-practice\/\">medical forms<\/a> cut the risk that a required field is missed at the encounter. A <a href=\"https:\/\/pabau.com\/blog\/hipaa-compliance-checklist-for-primary-care\/\">compliance checklist<\/a> turns that into a repeatable routine.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">HIPAA rules govern how those records are stored and transmitted through the billing process. The guidance on <a href=\"https:\/\/pabau.com\/blog\/hipaa-compliance-for-medical-offices\/\">HIPAA compliance<\/a> covers what your storage and transmission practices have to meet.<\/p>\n\n\n\n<h2 id=\"h-face-to-face-and-written-order-prior-to-delivery-rules\" class=\"wp-block-heading\">Face-to-face and written order prior to delivery rules<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">E0292 does not sit on Medicare&#8217;s required face-to-face encounter and written order prior to delivery (WOPD) list. Three codes in the same bed family do, which is where the confusion starts.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Effective August 12, 2024, CMS added E0290, E0301, and E0304 to its national <a href=\"https:\/\/www.cms.gov\/data-research\/monitoring-programs\/medicare-fee-service-compliance-programs\/medical-review-and-education\/dmepos-order-requirements\" target=\"_blank\" rel=\"nofollow noopener\">face-to-face and WOPD list<\/a>. That came through the DMEPOS Master List update published in May 2024, so it applies in all four DME MAC jurisdictions. Each DME MAC then <a href=\"https:\/\/www.cgsmedicare.com\/jb\/pubs\/news\/2024\/06\/cope157510.html\" target=\"_blank\" rel=\"nofollow noopener\">issued its own notice<\/a>, which is why the change often reads as a local one.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For those three codes, the supplier must hold a valid SWO before delivery. The practitioner also has to document a face-to-face encounter within the six months before the order date.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">None of that is prior authorization. Prior authorization is a separate CMS program with its own list of codes and its own submission process. Check that list on its own terms rather than assuming a face-to-face requirement implies an approval step.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Confirm which DME MAC jurisdiction covers the patient&#8217;s address before delivery is scheduled.<\/li>\n\n\n\n<li>Check the current face-to-face and WOPD list against the exact code you plan to bill, not the code family.<\/li>\n\n\n\n<li>For a listed code, have the signed SWO in the file before the bed leaves the warehouse. A same-day order does not fix a late one.<\/li>\n\n\n\n<li>Non-Medicare payers set their own rules, and some commercial plans do require prior authorization for a hospital bed.<\/li>\n<\/ul>\n\n\n\n<h2 id=\"h-what-medicare-pays-for-e0292-each-month\" class=\"wp-block-heading\">What Medicare pays for E0292 each month<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Medicare pays E0292 through the DMEPOS fee schedule, which CMS updates each year. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hospital beds fall under the capped rental methodology, so Medicare pays a monthly rental amount rather than a lump sum. Verify current amounts in the <a href=\"https:\/\/www.cms.gov\/medicare\/payment\/fee-schedules\/dmepos\" target=\"_blank\" rel=\"nofollow noopener\">CMS DMEPOS fee schedule<\/a> files, not the physician fee schedule lookup.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Payment concept<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Detail<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Payment methodology<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Capped rental. Monthly payments for up to 13 months, after which title transfers to the patient<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Fee schedule basis<\/td>\n<td style=\"padding:12px 16px;color:#374151\">DMEPOS fee schedule. Allowed amounts vary by state and DME MAC jurisdiction<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Competitive bidding<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Rates in competitive bidding areas differ from non-bid rates. Confirm which applies to the patient&#8217;s ZIP code<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Rate lookup<\/td>\n<td style=\"padding:12px 16px;color:#374151\">CMS DMEPOS fee schedule files, updated annually. DME MAC portals publish jurisdiction-specific amounts<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Rails and accessories<\/td>\n<td style=\"padding:12px 16px;color:#374151\">E0305 and E0310 carry their own allowed amounts and are billed on separate lines<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Patient cost sharing<\/td>\n<td style=\"padding:12px 16px;color:#374151\">20% coinsurance after the Part B deductible<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Suppliers in competitive bidding areas bill contract supplier pricing, and non-bid rates do not apply there. Confirm which rate category governs the patient&#8217;s ZIP code before the first claim.<\/p>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Refresh the DMEPOS fee schedule file every January. CMS posts updated amounts for the new year, and rail codes E0305 and E0310 change alongside the bed codes. Load all three into your billing system at once so a rail line never prices off last year&#8217;s file.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-modifiers-that-decide-whether-an-e0292-line-pays\" class=\"wp-block-heading\">Modifiers that decide whether an E0292 line pays<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Modifier choice decides whether a bed claim pays or denies. On an E0292 line, the modifier tells the payer what kind of transaction this is and whether the medical necessity documentation is on file.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Modifier<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Meaning<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">When to use<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">KX<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Medical necessity documentation on file<\/td>\n<td style=\"padding:12px 16px;color:#374151\">When the L33820 criteria are met and the supporting records are in the supplier&#8217;s file<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">RR<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Rental<\/td>\n<td style=\"padding:12px 16px;color:#374151\">On every monthly rental line for a capped rental item<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">NU<\/td>\n<td style=\"padding:12px 16px;color:#374151\">New equipment<\/td>\n<td style=\"padding:12px 16px;color:#374151\">When the item furnished is new rather than used<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">UE<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Used durable medical equipment<\/td>\n<td style=\"padding:12px 16px;color:#374151\">When furnishing previously used equipment at a reduced purchase amount<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">GA<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Advance Beneficiary Notice (ABN) on file<\/td>\n<td style=\"padding:12px 16px;color:#374151\">When denial is expected and the patient has signed an ABN<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">GZ<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Expected to be denied as not reasonable and necessary, no ABN on file<\/td>\n<td style=\"padding:12px 16px;color:#374151\">When the item is expected to be non-covered and no ABN was obtained<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">GY<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Statutorily excluded or not a Medicare benefit<\/td>\n<td style=\"padding:12px 16px;color:#374151\">When billing a non-covered item to obtain a denial for a secondary payer<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">RB<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Replacement of a part of a DME item furnished as part of a repair<\/td>\n<td style=\"padding:12px 16px;color:#374151\">On the part being replaced during a repair to a patient-owned bed<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">RA<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Replacement of a DME item<\/td>\n<td style=\"padding:12px 16px;color:#374151\">When the whole bed is replaced because it was lost, stolen, or damaged beyond repair<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Most rental claims carry KX and RR together. KX is only appropriate when the criteria are met and the records are already in the file at billing. Appending it out of habit creates audit exposure rather than avoiding it.<\/p>\n\n\n\n<h2 id=\"h-related-hcpcs-codes-for-hospital-beds\" class=\"wp-block-heading\">Related HCPCS codes for hospital beds<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Picking E0292 over an adjacent code is the most common coding error in this family. Each code pins down a specific combination of height adjustment, side rails, mattress, and weight capacity, and the equipment delivered has to match all four.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Official descriptor<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Key differentiator from E0292<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">E0255<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Hospital bed, variable height, hi-lo, with any type side rails, with mattress<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Same bed, rails built into the descriptor. The code E0292 is most often confused with<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">E0290<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Hospital bed, fixed height, without side rails, with mattress<\/td>\n<td style=\"padding:12px 16px;color:#374151\">No height adjustment. On the face-to-face and WOPD list since August 12, 2024<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">E0291<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Hospital bed, fixed height, without side rails, without mattress<\/td>\n<td style=\"padding:12px 16px;color:#374151\">No height adjustment and no mattress<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">E0292<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Hospital bed, variable height, hi-lo, without side rails, with mattress<\/td>\n<td style=\"padding:12px 16px;color:#374151\"><strong>This code.<\/strong> Hi-lo frame plus mattress, rails billed separately<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">E0293<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Hospital bed, variable height, hi-lo, without side rails, without mattress<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Same frame as E0292, no mattress supplied<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">E0294<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Powered head and foot adjustment for patients needing frequent position changes<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">E0295<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Semi-electric frame with no mattress supplied<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">E0296<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Hospital bed, total electric (head, foot, and height adjustments), without side rails, with mattress<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Powered height adjustment. Denied as not reasonable and necessary under L33820<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">E0297<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Hospital bed, total electric (head, foot, and height adjustments), without side rails, without mattress<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Total electric with no mattress. Also denied as a convenience feature<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">E0301<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Hospital bed, heavy duty, extra wide, with any type side rails, without mattress. Weight capacity greater than 350 pounds but less than or equal to 600 pounds.<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Bariatric frame, rails included, no mattress. On the face-to-face and WOPD list<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">E0302<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Hospital bed, extra heavy duty, extra wide, with any type side rails, without mattress. Weight capacity greater than 600 pounds.<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Capacity above 600 pounds, rails included, no mattress<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">E0303<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Hospital bed, heavy duty, extra wide, with any type side rails, with mattress. Weight capacity greater than 350 pounds but less than or equal to 600 pounds.<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Bariatric frame with rails and mattress included<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">E0304<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Hospital bed, extra heavy duty, extra wide, with any type side rails, with mattress. Weight capacity greater than 600 pounds.<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Capacity above 600 pounds with rails and mattress. On the face-to-face and WOPD list<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">E0305<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Bed side rails, half length<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Accessory code. Billed alongside E0292 when half rails are supplied<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">E0310<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Bed side rails, full length<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Accessory code. Billed alongside E0292 when full length rails are supplied<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Two patterns in that table are worth committing to memory. Everything from E0290 to E0297 excludes rails, and everything from E0301 upward includes them. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">E0294 and E0295 are the semi-electric pair in this block, so a semi-electric bed with rails built in belongs to <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-e0260\/\">E0260<\/a> or E0261 instead.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The total electric codes carry a coverage trap rather than a coding one. L33820 treats powered height adjustment as a convenience feature, so E0296 and E0297 are denied as not reasonable and necessary. A patient who genuinely needs a hi-lo frame is coded E0292, not upgraded to total electric.<\/p>\n\n\n\n<h2 id=\"h-repair-and-replacement-billing-for-e0292-equipment\" class=\"wp-block-heading\">Repair and replacement billing for E0292 equipment<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A bed furnished under E0292 will eventually need a repair or a replacement, and the rules differ sharply from new equipment billing. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pabau.com\/blog\/benefits-of-going-paperless-how-pabau-can-save-your-clinic-time-and-space\/\">Paperless records<\/a> make it far easier to retrieve the original order, the delivery note, and the service history that these claims depend on.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Start with the modifier, because the one most often quoted for repairs no longer exists. CMS deleted modifier RP from HCPCS effective December 31, 2008. Use RB on the part replaced during a repair, and RA when the whole item is replaced.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>During the rental months:<\/strong> Repairs are the supplier&#8217;s responsibility and are built into the monthly rental payment. There is nothing separate to bill while Medicare is still paying rent on the bed.<\/li>\n\n\n\n<li><strong>Repairs after title transfer:<\/strong> Once the bed is patient-owned, bill the replacement part with RB and keep a description of the failure in the file. A repair that costs more than replacing the item is not reasonable.<\/li>\n\n\n\n<li><strong>Replacement with RA:<\/strong> Covered when the bed is lost, stolen, or damaged beyond repair. Document the reason, such as a police report for theft, and obtain a new order.<\/li>\n\n\n\n<li><strong>Useful lifetime:<\/strong> Medicare sets the reasonable useful lifetime for durable medical equipment at no less than five years from the initial date of service. Replacement inside that window needs a documented reason.<\/li>\n<\/ul>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Record the title transfer date in the patient&#8217;s file the month it happens. That date is the line between supplier-owned repairs and billable repairs under RB. Hunting for it years later is what turns a simple repair claim into a denial.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-how-an-e0292-claim-moves-and-where-it-stalls\" class=\"wp-block-heading\">How an E0292 claim moves, and where it stalls<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">An E0292 claim runs through five steps, and two of them account for most denials. The order has to exist before the bed is delivered, and the transfer finding has to exist before the order.<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Encounter:<\/strong> The treating practitioner examines the patient and records why an ordinary bed and a fixed height bed both fall short.<\/li>\n\n\n\n<li><strong>Order:<\/strong> The practitioner writes and signs the SWO, naming the patient, the item, the order date, and their own NPI.<\/li>\n\n\n\n<li><strong>Delivery:<\/strong> The bed and mattress go in, the technician fits any ordered rails, and the patient signs proof of delivery.<\/li>\n\n\n\n<li><strong>First claim:<\/strong> The bed bills on one line with RR and KX, and each rail code takes a line of its own.<\/li>\n\n\n\n<li><strong>Rental months:<\/strong> Monthly lines run for up to 13 months, and the file records continued need and continued use as they go.<\/li>\n<\/ol>\n\n\n\n<h3 id=\"h-before-you-submit\" class=\"wp-block-heading\">Before you submit<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Run these checks on the first claim of every hospital bed rental. Each one takes a minute, and together they catch the errors that cost a month of rent.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>The code matches the frame delivered, so a bed with rails built in is not billed as E0292.<\/li>\n\n\n\n<li>The practitioner&#8217;s notes name the transfer problem, not only the need for a bed.<\/li>\n\n\n\n<li>The SWO is signed and dated before the delivery date on the proof of delivery.<\/li>\n\n\n\n<li>Proof of delivery carries the signature of the patient or their representative.<\/li>\n\n\n\n<li>Rail codes E0305 and E0310 sit on their own lines, with the same date of service.<\/li>\n\n\n\n<li>KX is on the line because the criteria are met and the records are already filed.<\/li>\n<\/ul>\n\n\n\n<h3 id=\"h-mistakes-that-cost-the-most\" class=\"wp-block-heading\">Mistakes that cost the most<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The most expensive mistake is coding from the invoice instead of the frame. A hi-lo bed with rails built in is E0255, so billing E0292 with a rail code describes equipment nobody delivered.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Next comes the note that justifies a hospital bed and stops there. Reviewers read it, find nothing about transfer height, and pay E0290 instead. The difference between the two codes comes back out of your payment.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Third is KX appended out of habit. Adding it before the supporting records are on file misstates what the supplier can produce on request. A clean denial would have been cheaper.<\/p>\n\n\n\n<h2 id=\"h-how-pabau-keeps-hospital-bed-records-audit-ready\" class=\"wp-block-heading\">How Pabau keeps hospital bed records audit-ready<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Most E0292 denials trace back to paperwork that exists somewhere but cannot be produced on request. Practice management software like Pabau keeps the order, the clinical notes behind it, and the delivery record on the same patient file.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pabau&#8217;s digital forms capture the practitioner&#8217;s findings at the encounter, including the transfer limitation that a variable height bed depends on. Custom fields let you record the make, model, mattress, and any rails supplied, so the equipment detail is written down once instead of reconstructed later.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/hcpcs-code-e0292\/fully-integrated-with-pabau-billing.webp\" alt=\"Pabau billing screen attached to a patient record\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&#8217;s billing tools sit on the same patient record as the bed order, so the charge and the supporting notes stay together.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">On the insurer side, Pabau&#8217;s <a href=\"https:\/\/pabau.com\/features\/claims-management-software\/\">claims and billing tools<\/a> validate insurer details before a claim leaves the practice. Medicare DMEPOS claims still go out through your DME billing system, with Pabau holding the clinical record that sits behind them.<\/p>\n\n\n        <div id=\"book_a_demo\">\n            <div class=\"left-side\">\n                <div class=\"logo\">\n                    <img decoding=\"async\"\n                        src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Logo.svg\"\n                        alt=\"Logo\"\n                        loading=\"lazy\"\n                    \/>\n                <\/div>\n\n                <h3 class=\"heading\">\n                    Keep every equipment order audit-ready                <\/h3>\n\n                <p class=\"description\">\n                    Pabau keeps orders, clinical notes, and delivery records on one patient file, so the documentation a reviewer asks for is already assembled.                <\/p>\n\n                <div class=\"button-group\">\n                    <a href=\"\/book-demo\/\" class=\"btn btn-scale-effect btn-cta-color btn-md\">\n                        <span class=\"btn-text\">Book a demo<\/span>\n                        <div class=\"btn-icon btn-icon-right\" aria-hidden=\"true\">\n                            <svg\n                                width=\"14\"\n                                height=\"12\"\n                                viewBox=\"0 0 14 12\"\n                                fill=\"none\"\n                                xmlns=\"http:\/\/www.w3.org\/2000\/svg\"\n                            >\n                                <path\n                                    d=\"M0.75 4.77295C0.335786 4.77295 0 5.10874 0 5.52295C0 5.93716 0.335786 6.27295 0.75 6.27295V5.52295V4.77295ZM13.2803 6.05328C13.5732 5.76039 13.5732 5.28551 13.2803 4.99262L8.50736 0.219648C8.21447 -0.073245 7.73959 -0.073245 7.4467 0.219648C7.15381 0.512542 7.15381 0.987415 7.4467 1.28031L11.6893 5.52295L7.4467 9.76559C7.15381 10.0585 7.15381 10.5334 7.4467 10.8263C7.73959 11.1191 8.21447 11.1191 8.50736 10.8263L13.2803 6.05328ZM0.75 5.52295V6.27295L12.75 6.27295V5.52295V4.77295L0.75 4.77295V5.52295Z\"\n                                    fill=\"currentColor\"\n                                ><\/path>\n                            <\/svg>\n                        <\/div>\n                    <\/a>\n                <\/div>\n            <\/div>\n\n            <div class=\"right-side\">\n                <img decoding=\"async\"\n                    src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Home-Page-Concept-4.webp\"\n                    alt=\"Pabau practice management platform dashboard\"\n                    loading=\"lazy\"\n                \/>\n            <\/div>\n        <\/div>\n        \n\n\n<h2 id=\"h-conclusion\" class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Code the bed you delivered, not the bed on the invoice. Walk out to the frame, look at whether the rails belong to it, and let that answer pick between E0292 and E0255.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Then ask for the transfer finding while the patient is still in front of the practitioner. No amount of later paperwork can add a note that nobody wrote. That one line is what separates a paid E0292 from a downgrade to E0290.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Get those two habits right and the rest of the bed rules become routine. Pabau holds the intake form, the clinical note, and the signed delivery record in one place for each patient. To see how it fits your documentation workflow, <a href=\"https:\/\/pabau.com\/book-demo\/\">book a demo<\/a>.<\/p>\n\n\n        <div id=\"expert_picks\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/11\/Expert-Picks.svg\" alt=\"Continue your research\" height=\"42\" width=\"42\">\n                                <h3>Continue your research<\/h3>\n            <\/div>\n            <div class=\"content\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Need the same frame without a mattress?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-e0293\/\">HCPCS code E0293<\/a> covers the hi-lo bed billed when the mattress is not supplied.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Billing the rails alongside the bed?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-e0310\/\">HCPCS code E0310<\/a> explains the full length side rail code and when half length rails apply instead.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Patient needs frequent position changes rather than transfer height?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/hcpcs-code-e0260\/\">HCPCS code E0260<\/a> covers the semi-electric bed and its own coverage test.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Want the records side handled properly?<\/strong> <a href=\"https:\/\/pabau.com\/blog\/practice-management-software\/\">Practice management software<\/a> shows how scheduling, documentation, and billing connect in one system.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-frequently-asked-questions\" class=\"wp-block-heading\">Frequently asked questions<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1786600682890\"><h3 class=\"schema-faq-question\">What does HCPCS code E0292 cover?<\/h3> <p class=\"schema-faq-answer\">E0292 is a hospital bed, variable height, hi-lo, without side rails, with mattress. It is a Level II HCPCS code billed as capped rental durable medical equipment under Medicare Part B.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786600682896\"><h3 class=\"schema-faq-question\">Does E0292 include side rails?<\/h3> <p class=\"schema-faq-answer\">No. Rails are not in the descriptor. Bill E0305 for half length rails or E0310 for full length ones, on separate lines. A hi-lo bed with rails built in is E0255.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786600682894\"><h3 class=\"schema-faq-question\">What is the difference between E0292 and E0290?<\/h3> <p class=\"schema-faq-answer\">E0290 is a fixed height bed with a mattress and no rails. E0292 adds the hi-lo mechanism. To bill E0292, the record must show the patient needs a bed height a fixed frame cannot provide for transfers.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786600682895\"><h3 class=\"schema-faq-question\">What documentation is required to bill E0292?<\/h3> <p class=\"schema-faq-answer\">A Standard Written Order, practitioner records supporting the L33820 criteria, face-to-face encounter notes, signed proof of delivery, and evidence of continued need during the rental. CMNs and DIFs ended in January 2023.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786600682892\"><h3 class=\"schema-faq-question\">Does E0292 require a written order prior to delivery?<\/h3> <p class=\"schema-faq-answer\">E0292 is not on Medicare&#8217;s face-to-face and written order prior to delivery list. CMS added E0290, E0301, and E0304 to it effective August 12, 2024, in all four DME MAC jurisdictions. Check the current list before delivery.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786600682893\"><h3 class=\"schema-faq-question\">What modifiers are used with HCPCS code E0292?<\/h3> <p class=\"schema-faq-answer\">KX and RR cover most monthly rental claims. NU applies to new purchases and UE to used equipment. GA and GZ handle expected denials. Repairs use RB, replacements use RA, and modifier RP was deleted in 2008.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786600682891\"><h3 class=\"schema-faq-question\">What is the Medicare reimbursement rate for E0292?<\/h3> <p class=\"schema-faq-answer\">E0292 is a capped rental item, so Medicare pays a monthly amount from the DMEPOS fee schedule for up to 13 months. Amounts vary by jurisdiction and competitive bidding status, and CMS updates the files each January.<\/p> <\/div> <\/div>\n","protected":false},"excerpt":{"rendered":"<p>HCPCS code E0292 is a variable height, hi-lo hospital bed with a mattress and without side rails. Once rails are part of the frame, the bed becomes E0255. Rails supplied as separate items get their own codes, E0305 and E0310. That one distinction sets up everything else about the code, from the coverage test to [&hellip;]<\/p>\n","protected":false},"author":85,"featured_media":177087,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_linkdex":"81","_yoast_wpseo_content_score":"60","_yoast_wpseo_is_cornerstone":"","_yoast_wpseo_keywordsynonyms":"[\"\",\"\",\"\",\"\",\"\",\"\"]","_yoast_wpseo_focuskw_text_input":"","_seo_original_html":"","footnotes":""},"categories":[1433,1548],"tags":[],"class_list":["post-177089","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-billing-codes","category-hcpcs"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.3 (Yoast SEO v28.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>HCPCS code E0292: Variable height hospital bed billing guide<\/title>\n<meta name=\"description\" content=\"E0292 covers a hi-lo hospital bed with mattress, no side rails. See which rail codes bill alongside it and what the record must prove.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-e0292\/\" \/>\n<meta property=\"og:locale\" content=\"nl_NL\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"HCPCS code E0292: Variable height hospital bed billing guide\" \/>\n<meta property=\"og:description\" content=\"E0292 covers a hi-lo hospital bed with mattress, no side rails. 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It is a Level II HCPCS code billed as capped rental durable medical equipment under Medicare Part B.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-e0292\/#faq-question-1786600682896","position":2,"url":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-e0292\/#faq-question-1786600682896","name":"Does E0292 include side rails?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"No. Rails are not in the descriptor. Bill E0305 for half length rails or E0310 for full length ones, on separate lines. A hi-lo bed with rails built in is E0255.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-e0292\/#faq-question-1786600682894","position":3,"url":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-e0292\/#faq-question-1786600682894","name":"What is the difference between E0292 and E0290?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"E0290 is a fixed height bed with a mattress and no rails. E0292 adds the hi-lo mechanism. To bill E0292, the record must show the patient needs a bed height a fixed frame cannot provide for transfers.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-e0292\/#faq-question-1786600682895","position":4,"url":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-e0292\/#faq-question-1786600682895","name":"What documentation is required to bill E0292?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"A Standard Written Order, practitioner records supporting the L33820 criteria, face-to-face encounter notes, signed proof of delivery, and evidence of continued need during the rental. CMNs and DIFs ended in January 2023.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-e0292\/#faq-question-1786600682892","position":5,"url":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-e0292\/#faq-question-1786600682892","name":"Does E0292 require a written order prior to delivery?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"E0292 is not on Medicare's face-to-face and written order prior to delivery list. CMS added E0290, E0301, and E0304 to it effective August 12, 2024, in all four DME MAC jurisdictions. Check the current list before delivery.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-e0292\/#faq-question-1786600682893","position":6,"url":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-e0292\/#faq-question-1786600682893","name":"What modifiers are used with HCPCS code E0292?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"KX and RR cover most monthly rental claims. NU applies to new purchases and UE to used equipment. GA and GZ handle expected denials. Repairs use RB, replacements use RA, and modifier RP was deleted in 2008.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"},{"@type":"Question","@id":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-e0292\/#faq-question-1786600682891","position":7,"url":"https:\/\/pabau.com\/nl\/procedure-codes\/hcpcs-code-e0292\/#faq-question-1786600682891","name":"What is the Medicare reimbursement rate for E0292?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"E0292 is a capped rental item, so Medicare pays a monthly amount from the DMEPOS fee schedule for up to 13 months. Amounts vary by jurisdiction and competitive bidding status, and CMS updates the files each January.","inLanguage":"nl-NL"},"inLanguage":"nl-NL"}]}},"yoast":{"focus_keyword":"HCPCS code E0292","seo_title":"HCPCS code E0292: Variable height hospital bed billing guide","meta_description":"E0292 covers a hi-lo hospital bed with mattress, no side rails. See which rail codes bill alongside it and what the record must prove.","content_score":"60","is_cornerstone":"","related_keyphrases":[{"keyword":"hospital bed hcpcs code","score":72},{"keyword":"E0292 medicare fee schedule","score":61},{"keyword":"E0292 coverage criteria","score":61},{"keyword":"dmepos hospital bed billing","score":61},{"keyword":"E0292 documentation requirements","score":61}]},"_links":{"self":[{"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/posts\/177089","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/users\/85"}],"replies":[{"embeddable":true,"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/comments?post=177089"}],"version-history":[{"count":4,"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/posts\/177089\/revisions"}],"predecessor-version":[{"id":177682,"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/posts\/177089\/revisions\/177682"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/media\/177087"}],"wp:attachment":[{"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/media?parent=177089"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/categories?post=177089"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pabau.com\/nl\/wp-json\/wp\/v2\/tags?post=177089"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}