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.

Semi electric hospital bed medicare guidelines.

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. Total electric beds will be denied as not reasonable and necessary. General requirements for coverage of hospital beds. 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.

Patient requires positioning of the body in ways not feasible with an ordinary bed. The beneficiary requires frequent changes in body position and or has an immediate need for a change in body position. Hospital bed heavy duty and side rails. In need of hospital bed coverage.

Click link to learn more. 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. Hospital beds covered by medicare 1. The height adjustment feature is a convenience feature.

A total electric hospital bed is not covered. Indications and limitations of coverage. These hospital beds are covered by the medicare if the patients qualifies the criteria needed for a. 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.

Variable height hospital beds. This type of beds is covered if the patients qualifies for the criteria of needing a. 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. The beneficiary has a medical condition which requires positioning of the body in ways not feasible with an ordinary bed.

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.