Hospital Beds

Coverage

Documentation

Reviews/Audits

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

Face-to-Face Encounter and Written Order Prior to Delivery (WOPD)

The following codes require a face-to-face encounter and a written order prior to delivery for dates of service on or after August 12, 2024:

  • E0290, E0301, and E0304

Tips

Billing Miscellaneous Code E1399

Use when billing a product not described by a specific HCPCS code within Hospital Beds and Accessories - Policy Article (A52508).

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

Resources

Last Updated Aug 22 , 2024

Related Articles

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Articles Source Posted
Hospital Beds & Accessories: Prevent Claim Denials 08/28/2024
Common Denial for Hospital Beds and Accessories 05/16/2024
Targeted Probe and Education (TPE) Pre-Payment Reviews 04/24/2024
How to Bill for Hospital Beds and Pressure Reducing Support Surfaces 10/04/2023
Hospital Bed Resources 09/28/2023
Hospitals Beds and Accessories: Billing Miscellaneous Code E1399 04/05/2023