Semi electric beds are medical beds that are quite similar to full electric hospital beds.
Semi electric hospital bed medicare.
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.
With this type of bed one is able to move the head and foot of the bed electronically but still has to manually adjust the height of the bed via a crank.
Elevation of the head upper body less than 30 does not usually require the use of a hospital bed.
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.
Your costs in original medicare if your supplier accepts assignment you pay 20 of the medicare approved amount and the part b deductible applies.
General requirements for coverage of hospital beds.
Next even if a hospital bed is prescribed by a physician in order for medicare to pay for it the patient has to meet the medicare guidelines for a semi electric hospital bed.
Semi ele tri 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.
Semi electric hospital beds semi electric beds offer more convenience than do manual beds making it much easier for one to move the position of the bed.
A person that is covered by medicare part b can get a semi electric hospital bed if their health requires it.
Patient requires positioning of the body in ways not feasible with an ordinary bed.
Medicare part b medical insurance covers hospital beds as durable medical equipment dme that your doctor prescribes for use in your home.
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.
Indications and limitations of coverage.
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.
Medicare does not pay for full electric hospital beds under any circumstance.
Medicare pays for different kinds of dme in different ways.
Claims for heavy duty extra wide hospital beds e0301 and e0303 the beneficiary meets coverage criteria for a fixed height hospital bed see above.
