Semi Electric Hospital Bed Medicare Guidelines

In need of hospital bed coverage.

Semi electric hospital bed medicare guidelines.

A semi electric hospital bed e0260 e0261 e0294 e0295 and e0329 is covered if the beneficiary meets one of the criteria for a fixed height bed and requires frequent changes in body position and or has an immediate need for a change in body position. A total electric hospital bed is not covered. General requirements for coverage of hospital beds. Total electric beds will be denied as not reasonable and necessary.

The beneficiary requires frequent changes in body position and or has an immediate need for a change in body position. A physician s prescription and such additional documentation as the medicare administrative contractor mac medical staff may consider necessary including medical records and physicians reports must establish the medical necessity for a hospital bed due to one of the following reasons. Claims for semi electric hospital beds e0260 e0261 e0294 e0295 and e0329 andthe beneficiary meets coverage criteria for a fixed height hospital bed see above. Hospital bed heavy duty and side rails.

Hospital beds covered by medicare 1. A semi electric hospital bed is covered if the patient meets one of the criteria for a fixed height bed and requires frequent changes in body position and or has an immediate need for a change in body position. An extra heavy duty hospital bed is covered if the member meets one of the criteria for a hospital bed and the member s weight exceeds 600 pounds. These hospital beds are covered by the medicare if the patients qualifies the criteria needed for a.

The height adjustment feature is a convenience feature. Click link to learn more. Variable height hospital beds. Qualifying guidelines1 a semi electric hospital bed is covered if the patient requires frequent changes in body position and meets one of the following criteria.

Learn rules understand when medicare will help with costs for in home hospital beds. Indications and limitations of coverage. Semi eletri hospital ed manual height adjustment with electric head leg elevation adjustments overed if one or more of the following items four are documented in patient s medical record 1. The beneficiary has a medical condition which requires positioning of the body in ways not feasible with an ordinary bed.

Patient requires positioning of the body in ways not feasible with an ordinary bed.