Hospital Beds

Coverage

Documentation

Reviews/Audits

  • Medical Review - View notifications/findings of pre/post claim reviews completed by Noridian Medical Review

Tips

Topic Detail
Billing Miscellaneous Code E1399 Use when billing a product not described by a specific HCPCS code within Policy Article A52508 - Hospital Beds and Accessories.
Providing a PRSS
  • When Beneficiary owns Hospital Bed with mattress - Providing a mattress-type PRSS to replace an existing mattress is allowed if there is a change in the beneficiary's medical condition that justifies coverage of the PRSS. When the beneficiary owns a hospital bed with mattress, it is their decision regarding the disposition of that mattress. The supplier may bill for the appropriate HCPCS code for the PRSS provided.
  • When Hospital Bed with mattress is in a capped rental period - Providing a mattress-type PRSS to replace an existing mattress is allowed if there is a change in the beneficiary's medical condition that justifies coverage of the PRSS. In this scenario, the regular mattress must be returned to the supplier and the supplier must stop billing the HCPCS code for the combination bed with mattress.
Billing Instruction - Hospital Beds and Pressure Reducing Support Surfaces Please refer to the Billing Instruction - Hospital Beds and Pressure Reducing Support Surfaces DMD joint article.

 

Last Updated Wed, 04 May 2022 16:39:33 +0000

The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.

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