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HCPCS E0295: Hospital Bed, Semi-Electric (Head and Foot Adjustment)

HCPCS Level II code E0295 designates a semi-electric hospital bed that provides head and foot adjustment but is supplied without side rails or a mattress. The code matters nationally because hospital beds are essential durable medical equipment (DME) used across inpatient, skilled nursing, and home health settings to support patient positioning, pressure management, and functional care needs. Proper coding affects DME coverage determinations, inventory management, and clinical care planning.

Key payers included in this overview are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise presentation of what E0295 represents, the clinical contexts where the bed is used, and the typical service settings. The publication summarizes benchmarks and payment context where available and highlights policy considerations relevant to DME coding and coverage nationally. The content also covers common modifiers and administrative notes where applicable. Data not available in the input is noted explicitly where relevant.

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Billing Code Overview

HCPCS Level II code E0295 describes a hospital bed, semi-electric (head and foot adjustment), without side rails, without mattress. This item is a durable medical equipment product intended to provide adjustable head and foot positioning through semi-electric controls, typically operated in acute care, long-term care, or home health settings where a patient requires position adjustment but not full electric bed functionality.

Service type: Durable Medical Equipment (hospital bed)

Typical site of service: Hospital inpatient units, skilled nursing facilities, and patient residence for home health care

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HCPCS E0295: Hospital Bed, Semi-Electric (Head and Foot Adjustment)

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Billing Code Overview

Service type: Durable Medical Equipment (hospital bed)

Typical site of service: Hospital inpatient units, skilled nursing facilities, and patient residence for home health care

Clinical & Coding Specifications

Clinical Context

A typical patient is an adult with limited mobility and medical need for an adjustable hospital bed at home or in a long-term care facility. The patient may be recovering from major surgery (for example, hip or abdominal surgery), have progressive neuromuscular disease, advanced cardiac or pulmonary disease requiring frequent head elevation, or complex wound care requiring foot-of-bed adjustments. A durable medical equipment (DME) provider delivers and sets up a semi-electric hospital bed (E0295) without mattress or side rails.

Clinical workflow: The ordering clinician documents medical necessity and selects the appropriate ICD-10 diagnosis. The DME supplier verifies insurance coverage, obtains prior authorization if required, schedules delivery, performs home assessment for space and safety, assembles the semi-electric bed, provides basic user instruction to patient/caregiver on head and foot adjustments and safe use, and documents delivery and beneficiary signature. Follow-up visits or remote checks ensure correct use and address accessory needs such as a compatible mattress, bed rails, or specialized overlays which are billed separately if indicated.

Coding Specifications

Modifier	Description	When to Use
`00`	Unspecified	Use when no applicable modifier is reported or payer requires default placeholder
`22`	Increased procedural services	Use when delivery or setup required substantially greater effort than typical (rare for standard DME deliveries)
`52`	Reduced services	Use if a service was partially furnished or abbreviated delivery/setup occurred
`53`	Discontinued service	Use if delivery/setup begun but canceled for clinical reasons
`62`	Two surgeons	Rare; use if two qualified suppliers/providers share responsibility during complex installation requiring clinical supervision
`78`	Unplanned return to the operating/procedure room by the same physician following initial procedure	Not commonly applicable; reserved for clinical procedures related to the patient condition when supplier coordination affects billing
`80`	Assistant at surgery	Not typically applicable for DME; included when clinical personnel assist in bedside installation in institutional settings
`AS`	Physician assistant, nurse practitioner, or clinical nurse specialist	Use when a PA/NP/CNS is the ordering or supervising clinician as required by payer rules
`RB`	Replacement of durable medical equipment - but still under functional repair policy	Use when billing for replacement unit of the same model under justified clinical need
`RR`	Replacement of rental DME	Use when converting from rental to purchase or replacing a rented unit per payer policy
`TC`	Technical component	Use when billing separates technical services (equipment supply) from professional components; for DME suppliers typically the technical component is billed
`UE`	Items provided under the Payer’s home infusion or other special program	Use when payer requires this modifier for items furnished under specific care programs

Taxonomy Code	Specialty	Notes
`103K00000X`	Physical Therapist	Evaluates mobility needs and bed height/adjustment requirements
`225100000X`	Home Health Agency	Coordinates home-based equipment delivery and patient training
`251B00000X`	DME Supplier	Orders, supplies, and sets up `E0295` hospital beds
`207Q00000X`	Family Medicine Physician	Common ordering provider for home DME based on chronic conditions
`208D00000X`	Orthopedic Surgeon	May order bed for post-operative patients requiring head/foot adjustments

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`M16.11`	Unilateral primary osteoarthritis, right hip	Hip osteoarthritis causing limited mobility and need for head/foot adjustment for comfort and transfers
`M17.11`	Unilateral primary osteoarthritis, right knee	Advanced knee OA limiting mobility; adjustable bed improves positioning and facilitation of transfers
`I50.21`	Acute on chronic systolic (congestive) heart failure	Head-of-bed elevation required for respiratory comfort and to reduce orthopnea, supporting use of an adjustable bed
`J96.01`	Acute respiratory failure with hypoxia	Patients requiring frequent position changes and head elevation for oxygenation may need semi-electric beds for safe positioning
`G82.20`	Paraplegia, unspecified	Patients with spinal cord injury or paralysis frequently require adjustable beds for pressure management and transfers
`L89.309`	Pressure ulcer of sacral region, unspecified stage	Position changes and foot elevation facilitated by adjustable beds to offload pressure and assist wound care
`M54.5`	Low back pain	Severe functional impairment may justify an adjustable bed to improve comfort and sleep and facilitate care
`R26.2`	Difficulty in walking, not elsewhere classified	Mobility impairment that supports need for a semi-electric hospital bed to assist with transfers and positioning

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`99401`	Preventive medicine counseling, individual, approximately 15 minutes	May be used for documented patient/caregiver education on bed safety and fall prevention during a home visit prior to or after delivery
`99213`	Office or other outpatient visit for the evaluation and management of an established patient, low to moderate complexity	Commonly used by ordering clinicians to document the medical necessity evaluation supporting the order for a semi-electric hospital bed
`96161`	Administration of caregiver-focused health risk assessment instrument	May be used when a caregiver assessment is performed to ensure safe operation and home suitability for the bed
`99501`	Home visit for new patient (physician)	Used when an in-home clinical evaluation is performed before ordering DME to document need and environment
`97001`	Physical therapy evaluation	May be performed to document functional deficits and justification for adjustable hospital bed features

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 Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

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Clinical & Coding Specifications

Clinical Context

Coding Specifications

Modifier	Description	When to Use
`00`	Unspecified	Use when no applicable modifier is reported or payer requires default placeholder
`22`	Increased procedural services	Use when delivery or setup required substantially greater effort than typical (rare for standard DME deliveries)
`52`	Reduced services	Use if a service was partially furnished or abbreviated delivery/setup occurred
`53`	Discontinued service	Use if delivery/setup begun but canceled for clinical reasons
`62`	Two surgeons	Rare; use if two qualified suppliers/providers share responsibility during complex installation requiring clinical supervision
`78`	Unplanned return to the operating/procedure room by the same physician following initial procedure	Not commonly applicable; reserved for clinical procedures related to the patient condition when supplier coordination affects billing
`80`	Assistant at surgery	Not typically applicable for DME; included when clinical personnel assist in bedside installation in institutional settings
`AS`	Physician assistant, nurse practitioner, or clinical nurse specialist	Use when a PA/NP/CNS is the ordering or supervising clinician as required by payer rules
`RB`	Replacement of durable medical equipment - but still under functional repair policy	Use when billing for replacement unit of the same model under justified clinical need
`RR`	Replacement of rental DME	Use when converting from rental to purchase or replacing a rented unit per payer policy
`TC`	Technical component	Use when billing separates technical services (equipment supply) from professional components; for DME suppliers typically the technical component is billed
`UE`	Items provided under the Payer’s home infusion or other special program	Use when payer requires this modifier for items furnished under specific care programs

Taxonomy Code	Specialty	Notes
`103K00000X`	Physical Therapist	Evaluates mobility needs and bed height/adjustment requirements
`225100000X`	Home Health Agency	Coordinates home-based equipment delivery and patient training
`251B00000X`	DME Supplier	Orders, supplies, and sets up `E0295` hospital beds
`207Q00000X`	Family Medicine Physician	Common ordering provider for home DME based on chronic conditions
`208D00000X`	Orthopedic Surgeon	May order bed for post-operative patients requiring head/foot adjustments

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`M16.11`	Unilateral primary osteoarthritis, right hip	Hip osteoarthritis causing limited mobility and need for head/foot adjustment for comfort and transfers
`M17.11`	Unilateral primary osteoarthritis, right knee	Advanced knee OA limiting mobility; adjustable bed improves positioning and facilitation of transfers
`I50.21`	Acute on chronic systolic (congestive) heart failure	Head-of-bed elevation required for respiratory comfort and to reduce orthopnea, supporting use of an adjustable bed
`J96.01`	Acute respiratory failure with hypoxia	Patients requiring frequent position changes and head elevation for oxygenation may need semi-electric beds for safe positioning
`G82.20`	Paraplegia, unspecified	Patients with spinal cord injury or paralysis frequently require adjustable beds for pressure management and transfers
`L89.309`	Pressure ulcer of sacral region, unspecified stage	Position changes and foot elevation facilitated by adjustable beds to offload pressure and assist wound care
`M54.5`	Low back pain	Severe functional impairment may justify an adjustable bed to improve comfort and sleep and facilitate care
`R26.2`	Difficulty in walking, not elsewhere classified	Mobility impairment that supports need for a semi-electric hospital bed to assist with transfers and positioning

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`99401`	Preventive medicine counseling, individual, approximately 15 minutes	May be used for documented patient/caregiver education on bed safety and fall prevention during a home visit prior to or after delivery
`99213`	Office or other outpatient visit for the evaluation and management of an established patient, low to moderate complexity	Commonly used by ordering clinicians to document the medical necessity evaluation supporting the order for a semi-electric hospital bed
`96161`	Administration of caregiver-focused health risk assessment instrument	May be used when a caregiver assessment is performed to ensure safe operation and home suitability for the bed
`99501`	Home visit for new patient (physician)	Used when an in-home clinical evaluation is performed before ordering DME to document need and environment
`97001`	Physical therapy evaluation	May be performed to document functional deficits and justification for adjustable hospital bed features

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 Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.

Published by

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

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HCPCS E0295: Hospital Bed, Semi-Electric (Head and Foot Adjustment)

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Billing Code Overview

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HCPCS E0295: Hospital Bed, Semi-Electric (Head and Foot Adjustment)

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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