Summary & Overview
HCPCS E0300: Pediatric Hospital-Grade Fully Enclosed Crib
HCPCS Level II code E0300 represents a hospital-grade, fully enclosed pediatric crib (with or without a top enclosure) used to provide a secure sleeping environment for pediatric patients in facility settings. This equipment code is nationally relevant because it applies to inpatient and other facility-based pediatric care where specialized, safety-compliant cribs are required to meet clinical and regulatory standards. Proper coding of E0300 affects DME procurement, billing accuracy, and institutional compliance with safety requirements.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context, typical sites of service, and the types of service lines where E0300 is billed. The publication summarizes benchmarks and coverage patterns, highlights relevant policy considerations for payers and institutions, and outlines common billing practices and documentation expectations. Data not available in the input is noted where applicable. This resource is intended to support billing staff, compliance officers, and facility administrators seeking a clear understanding of how HCPCS Level II code E0300 is used and why accurate coding matters for pediatric inpatient equipment provisioning and reimbursement.
Billing Code Overview
HCPCS Level II code E0300 designates a pediatric crib, hospital grade, fully enclosed, with or without top enclosure. This item is durable medical equipment intended to provide a secure, enclosed sleeping environment for pediatric patients who require inpatient or facility-based care.
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Service type: Durable medical equipment (DME) for pediatric inpatient or facility use
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Typical site of service: Hospital inpatient units, pediatric specialty units, long-term acute care facilities, and other facility-based settings where hospital-grade pediatric cribs are required
Clinical & Coding Specifications
Clinical Context
A pediatric patient admitted to an inpatient pediatric ward or neonatal intensive care unit requires a hospital-grade fully enclosed crib to ensure safety, containment, and infection-control measures. Typical scenarios include infants or toddlers with mobility limitations, seizures, severe behavioral dysregulation, or need for enhanced fall prevention following surgery or medical procedures. The clinical workflow begins with an order from the attending pediatrician, pediatric hospitalist, neonatologist, or pediatric surgeon documenting the medical necessity for a E0300 pediatric crib (fully enclosed). The order is routed to the hospital equipment or biomedical supply team, which verifies crib availability, inspects the unit for safety and cleanliness, and delivers the crib to the patient room. Nursing documents placement and patient response; respiratory therapy or physical/occupational therapy may be consulted for environmental safety recommendations. Durable medical equipment (DME) billing staff attach modifier(s) as appropriate and submit claims to payors such as Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, BUCA, and Medicare according to facility billing policies. Regular checks for cleanliness and structural integrity are performed while the crib is in use; upon discharge or when no longer needed the equipment is removed and returned to inventory or decontaminated per hospital protocol.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 |