E0294 — Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress
E0294 is a HCPCS Level II code for hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress. It belongs to the Durable Medical Equipment section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Special coverage instructions apply
There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Medically Unlikely Edits — units per day
The most units of E0294 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
- outpatient
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
- DME supplier
- 1 unit MAI 2 — Date of Service Edit: Policy · Code Descriptor / CPT Instruction
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.
The CMS record for E0294
- Long descriptor
- Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress
- Short descriptor
- Hosp bed semi-elect w/ mattr
- Added
- January 1, 1991
- BETOS
- D1B
- Pricing indicator
- 36 — DMEPOS
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Capped rental DME. Price subject to floors and ceilings.
Codes adjacent to E0294
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If E0294 is not quite right, the correct code is very often within a few positions of it.
- E0275Bed pan, standard, metal or plastic
- E0276Bed pan, fracture, metal or plastic
- E0277Powered pressure-reducing air mattress
- E0280Bed cradle, any type
- E0290Hospital bed, fixed height, without side rails, with mattress
- E0291Hospital bed, fixed height, without side rails, without mattress
- E0292Hospital bed, variable height, hi-lo, without side rails, with mattress
- E0293Hospital bed, variable height, hi-lo, without side rails, without mattress
- E0295Hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress
- E0296Hospital bed, total electric (head, foot and height adjustments), without side rails, with mattress
- E0297Hospital bed, total electric (head, foot and height adjustments), without side rails, without mattress
- E0300Pediatric crib, hospital grade, fully enclosed, with or without top enclosure
- E0301Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress
- E0302Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress
- E0303Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress
- E0304Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress
Questions about E0294
What is HCPCS code E0294?
E0294 is a HCPCS Level II code for hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress. It sits in the Durable Medical Equipment section.
Does Medicare cover E0294?
The CMS HCPCS file marks E0294 as "Special coverage instructions apply". There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.