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HCPCS E0266: Total Electric Hospital Bed (Head, Foot, Height Adjustments)

HCPCS Level II code E0266 designates a fully electric hospital bed that provides powered adjustments to the head, foot and overall height, furnished without a mattress. This durable medical equipment (DME) code matters nationally because hospital beds with total electric adjustments are commonly used across acute, post-acute and home care settings to support mobility, pressure management and caregiver safety. Coverage, prior authorization requirements and payment rates for hospital beds vary across major payers and Medicare, affecting access to appropriate equipment for medically complex patients.

Key payers in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare and Medicare. Readers will find a concise overview of clinical context for E0266, common coverage considerations, and the types of benchmarks and policy updates typically relevant for this code. The publication outlines where E0266 is used in care delivery (inpatient and home health settings), summarizes payer coverage themes, and highlights the kinds of documentation and clinical indications that often accompany billing for a total electric hospital bed. Data not available in the input for payer-specific rates, ICD-10 pairings, or utilization metrics will be noted where applicable.

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Billing Code Overview

HCPCS Level II code E0266 describes a hospital bed, total electric (head, foot and height adjustments), with any type side rails, without mattress. This equipment is intended to provide fully powered adjustments for the head, foot and overall height of the bed to support patient positioning and care needs.

Service type: Durable medical equipment (motorized hospital bed)
Typical site of service: Inpatient settings and home health environments where a full-electric hospital bed is required for patient support and clinical care

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HCPCS E0266: Total Electric Hospital Bed (Head, Foot, Height Adjustments)

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Get alerted when payer policies referencing E0266 are released or updated.

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Billing Code Overview

Service type: Durable medical equipment (motorized hospital bed)
Typical site of service: Inpatient settings and home health environments where a full-electric hospital bed is required for patient support and clinical care

Clinical & Coding Specifications

Clinical Context

A hospitalized adult or pediatric patient with mobility limitations, pressure injury risk, neurological impairment, or complex medical needs requires a fully electric hospital bed for safe positioning and care. Typical scenario: a patient admitted to an acute care hospital or long-term acute care facility following traumatic injury, stroke with hemiparesis, advanced neuromuscular disease, or post-operative instability is provided a total electric bed E0266 to allow remote adjustment of head, foot, and height for wound care, respiratory management, transfers, and fall prevention.

Clinical workflow: the physician documents medical necessity (e.g., impaired mobility, need for frequent head-elevation for respiratory status, pressure redistribution, or facilitation of nursing care). A durable medical equipment (DME) order for E0266 is placed. The DME supplier coordinates delivery to the typical site of service (acute hospital, long-term acute care facility, skilled nursing facility, or patient home when criteria met). Nursing and therapy staff train caregivers on bed controls, side rail use, and safe transfer techniques. Ongoing documentation includes rationale for continued use, equipment maintenance, and any adjustments to support discharge planning.

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural services	When atypical labor or unusually extensive delivery/installation or training is required beyond standard setup time for the electric bed.
`52`	Reduced services	When a component of the ordered equipment is not provided or a lesser service is furnished (e.g., bed delivered without optional accessories billed separately).
`53`	Discontinued procedure	When delivery or setup is started but not completed due to patient or clinical factors.
`62`	Two surgeons	Not typically applicable to DME; included when two practitioners of record share responsibility for a service related to bed provision (rare).
`78`	Unplanned return to facility for related procedure following discharge	When a bed-related corrective service is supplied after initial delivery due to complications requiring repeat service.
`80`	Assistant surgeon	Rarely applicable; used if an assistant provider is documented for a procedure tied to bed-related surgical interventions.
`82`	Assistant surgeon (when qualified resident not available)	Similar to `80`, uncommon for DME.
`AS`	Physician assistant, nurse practitioner, or clinical nurse specialist services	Use when a PA/NP/CNS documents and signs professional services related to equipment assessment and medical necessity.
`RR`	Rental (equipment)	When billing indicates a rental arrangement for the hospital bed rather than purchase.
`NU`	New equipment	When the hospital bed `E0266` is furnished as new equipment (not refurbished).
`UE`	Rental equipment (if specific to certain carriers)	When payer-specific rental designation is required.
`QK`	Medical direction of two, three, or four assistants	Rarely applicable; included only if medical direction is documented for related procedures.
`QX`	Certified registered nurse anesthetist service: CRNA with medical direction by a physician	Not applicable to DME but retained for completeness if bundled services include anesthesia for procedures associated with bed placement.

Taxonomy Code	Specialty	Notes
`251B00000X`	Physical Therapist	Performs mobility assessment and documents need for adjustable bed for transfers and positioning.
`207L00000X`	Registered Nurse	Provides bedside assessment, training, and documentation supporting DME needs.
`331K00000X`	Durable Medical Equipment Supplier	Responsible for delivery, setup, and maintenance of `E0266`.
`208D00000X`	Pulmonary Disease Specialist	Documents respiratory indications requiring head elevation and frequent adjustments.
`2080P0206X`	Neurology	Documents neurologic impairments (e.g., stroke, spinal cord injury) necessitating a total electric hospital bed.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`Z74.01`	Bed confinement status	Indicates need for specialized hospital bed due to confinement and limited mobility.
`R26.89`	Other abnormalities of gait and mobility	Mobility impairment that supports need for an electric bed for transfers and positioning.
`G82.20`	Paraplegia, unspecified	Neurologic paralysis requiring adjustable bed for pressure management and safe transfers.
`I50.9`	Heart failure, unspecified	Heart failure patients may require head elevation frequently for respiratory comfort; supports electric bed use.
`L89.XXX`	Pressure ulcer (site unspecified)	Presence or high risk of pressure injuries justifies adjustable bed to redistribute pressure and facilitate wound care.
`S14.109A`	Unspecified injury of cervical spinal cord, initial encounter	Acute spinal cord injury patients require specialized beds for positioning and pressure management.
`M62.81`	Muscle weakness (generalized)	Generalized weakness increasing dependency for transfers and positioning; supports need for `E0266`.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97161`	Physical therapy evaluation, low complexity	Performed before equipment ordering to document functional deficits and justify `E0266` based on mobility limitations.
`97162`	Physical therapy evaluation, moderate complexity	Used when evaluation documents multiple deficits influencing bed selection and setup.
`99221`	Initial hospital inpatient care, per day, typically 30 minutes	Physician inpatient evaluation documenting medical necessity for a total electric bed during admission.
`95907`	Short-latency somatosensory evoked potentials (SSEP)	Example of ancillary testing that may accompany neurological assessment; not directly related to DME but can be part of the workflow for complex neurologic patients (used rarely).
`99070`	Supplies and materials (e.g., additional bed accessories)	Billed when non-standard accessories or supplies required for bed installation are furnished and not included in base `E0266`.

HCPCS E0100: Cane, Adjustable or Fixed, With Tip

HCPCS-E0105-CANE-QUAD-THREE-PRONG-MOBILITY-AID

HCPCS E0105: Cane, Quad or Three Prong, Adjustable or Fixed

HCPCS-E0110-FOREARM-CRUTCHES-PAIR-DME-MOBILITY

HCPCS E0110: Forearm Crutches, Pair, Complete with Tips and Handgrips

HCPCS-E0111-CRUTCH-FOREARM-DURABLE-MEDICAL-EQUIPMENT

HCPCS E0111: Crutch Forearm, Includes Tip and Handgrips

HCPCS-E0112-UNDERARM-WOOD-CRUTCHES-PAIR

HCPCS E0112: Underarm Wooden Crutches, Pair, with Pads and Handgrips

HCPCS-E0113-CRUTCH-UNDERARM-WOOD-ADJUSTABLE-FIXED-WITH-PAD-TIP-HANDGRIP

HCPCS Level II E0113: Crutch Underarm, Wood, with Pad, Tip and Handgrip

HCPCS-E0114-UNDERARM-CRUTCHES-PAIR-ADJUSTABLE-FIXED

HCPCS E0114: Underarm Crutches, Non-Wood, Pair, Adjustable or Fixed

HCPCS-E0116-UNDERARM-CRUTCH-NON-WOOD-ADJUSTABLE-FIXED

HCPCS E0116: Underarm Crutch, Non‑Wood, Adjustable or Fixed

HCPCS-E0117-ARTICULATING-SPRING-ASSISTED-UNDERARM-CRUTCH

HCPCS E0117: Articulating, Spring-Assisted Underarm Crutch

HCPCS-E0118-LOWER-LEG-PLATFORM-CRUTCH-SUBSTITUTE

HCPCS E0118: Lower Leg Platform Crutch Substitute

Showing 1–10 of 670

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

Trek Health ingests and normalizes Transparency in Coverage data and payer policy updates to give provider organizations a clear view of how commercial reimbursement behaves across markets, payers, and services. Our platform transforms raw payer disclosures into structured intelligence that supports contract evaluation, payer negotiations, and service line strategy. By combining market benchmarks with ongoing policy visibility, Trek helps teams identify variability, risk, and opportunity in commercial reimbursement. The result is faster insight, stronger negotiating positions, and more informed financial decisions.

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`22`	Increased procedural services	When atypical labor or unusually extensive delivery/installation or training is required beyond standard setup time for the electric bed.
`52`	Reduced services	When a component of the ordered equipment is not provided or a lesser service is furnished (e.g., bed delivered without optional accessories billed separately).
`53`	Discontinued procedure	When delivery or setup is started but not completed due to patient or clinical factors.
`62`	Two surgeons	Not typically applicable to DME; included when two practitioners of record share responsibility for a service related to bed provision (rare).
`78`	Unplanned return to facility for related procedure following discharge	When a bed-related corrective service is supplied after initial delivery due to complications requiring repeat service.
`80`	Assistant surgeon	Rarely applicable; used if an assistant provider is documented for a procedure tied to bed-related surgical interventions.
`82`	Assistant surgeon (when qualified resident not available)	Similar to `80`, uncommon for DME.
`AS`	Physician assistant, nurse practitioner, or clinical nurse specialist services	Use when a PA/NP/CNS documents and signs professional services related to equipment assessment and medical necessity.
`RR`	Rental (equipment)	When billing indicates a rental arrangement for the hospital bed rather than purchase.
`NU`	New equipment	When the hospital bed `E0266` is furnished as new equipment (not refurbished).
`UE`	Rental equipment (if specific to certain carriers)	When payer-specific rental designation is required.
`QK`	Medical direction of two, three, or four assistants	Rarely applicable; included only if medical direction is documented for related procedures.
`QX`	Certified registered nurse anesthetist service: CRNA with medical direction by a physician	Not applicable to DME but retained for completeness if bundled services include anesthesia for procedures associated with bed placement.

Taxonomy Code	Specialty	Notes
`251B00000X`	Physical Therapist	Performs mobility assessment and documents need for adjustable bed for transfers and positioning.
`207L00000X`	Registered Nurse	Provides bedside assessment, training, and documentation supporting DME needs.
`331K00000X`	Durable Medical Equipment Supplier	Responsible for delivery, setup, and maintenance of `E0266`.
`208D00000X`	Pulmonary Disease Specialist	Documents respiratory indications requiring head elevation and frequent adjustments.
`2080P0206X`	Neurology	Documents neurologic impairments (e.g., stroke, spinal cord injury) necessitating a total electric hospital bed.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`Z74.01`	Bed confinement status	Indicates need for specialized hospital bed due to confinement and limited mobility.
`R26.89`	Other abnormalities of gait and mobility	Mobility impairment that supports need for an electric bed for transfers and positioning.
`G82.20`	Paraplegia, unspecified	Neurologic paralysis requiring adjustable bed for pressure management and safe transfers.
`I50.9`	Heart failure, unspecified	Heart failure patients may require head elevation frequently for respiratory comfort; supports electric bed use.
`L89.XXX`	Pressure ulcer (site unspecified)	Presence or high risk of pressure injuries justifies adjustable bed to redistribute pressure and facilitate wound care.
`S14.109A`	Unspecified injury of cervical spinal cord, initial encounter	Acute spinal cord injury patients require specialized beds for positioning and pressure management.
`M62.81`	Muscle weakness (generalized)	Generalized weakness increasing dependency for transfers and positioning; supports need for `E0266`.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`97161`	Physical therapy evaluation, low complexity	Performed before equipment ordering to document functional deficits and justify `E0266` based on mobility limitations.
`97162`	Physical therapy evaluation, moderate complexity	Used when evaluation documents multiple deficits influencing bed selection and setup.
`99221`	Initial hospital inpatient care, per day, typically 30 minutes	Physician inpatient evaluation documenting medical necessity for a total electric bed during admission.
`95907`	Short-latency somatosensory evoked potentials (SSEP)	Example of ancillary testing that may accompany neurological assessment; not directly related to DME but can be part of the workflow for complex neurologic patients (used rarely).
`99070`	Supplies and materials (e.g., additional bed accessories)	Billed when non-standard accessories or supplies required for bed installation are furnished and not included in base `E0266`.

HCPCS E0100: Cane, Adjustable or Fixed, With Tip

HCPCS-E0105-CANE-QUAD-THREE-PRONG-MOBILITY-AID

HCPCS E0105: Cane, Quad or Three Prong, Adjustable or Fixed

HCPCS-E0110-FOREARM-CRUTCHES-PAIR-DME-MOBILITY

HCPCS E0110: Forearm Crutches, Pair, Complete with Tips and Handgrips

HCPCS-E0111-CRUTCH-FOREARM-DURABLE-MEDICAL-EQUIPMENT

HCPCS E0111: Crutch Forearm, Includes Tip and Handgrips

HCPCS-E0112-UNDERARM-WOOD-CRUTCHES-PAIR

HCPCS E0112: Underarm Wooden Crutches, Pair, with Pads and Handgrips

HCPCS-E0113-CRUTCH-UNDERARM-WOOD-ADJUSTABLE-FIXED-WITH-PAD-TIP-HANDGRIP

HCPCS Level II E0113: Crutch Underarm, Wood, with Pad, Tip and Handgrip

HCPCS-E0114-UNDERARM-CRUTCHES-PAIR-ADJUSTABLE-FIXED

HCPCS E0114: Underarm Crutches, Non-Wood, Pair, Adjustable or Fixed

HCPCS-E0116-UNDERARM-CRUTCH-NON-WOOD-ADJUSTABLE-FIXED

HCPCS E0116: Underarm Crutch, Non‑Wood, Adjustable or Fixed

HCPCS-E0117-ARTICULATING-SPRING-ASSISTED-UNDERARM-CRUTCH

HCPCS E0117: Articulating, Spring-Assisted Underarm Crutch

HCPCS-E0118-LOWER-LEG-PLATFORM-CRUTCH-SUBSTITUTE

HCPCS E0118: Lower Leg Platform Crutch Substitute

Showing 1–10 of 670

References

1.CPT® Codes and Descriptions. AAPC. Retrieved Jul 29, 2026.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Jul 29, 2026.

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

OpenPayer

HCPCS E0266: Total Electric Hospital Bed (Head, Foot, Height Adjustments)

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Billing Code Overview

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HCPCS E0266: Total Electric Hospital Bed (Head, Foot, Height Adjustments)

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Billing Code Overview

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References

Clinical & Coding Specifications

Clinical Context

Coding Specifications

Related Diagnoses

Related CPT Codes

Related Codes

References