Summary & Overview
HCPCS E0301: Heavy-Duty Extra-Wide Hospital Bed (No Mattress)
HCPCS Level II code E0301 denotes a heavy-duty, extra-wide hospital bed with a weight capacity greater than 350 pounds and up to 600 pounds, provided without a mattress. The code identifies a category of durable medical equipment (DME) used when patient size or clinical needs exceed standard bed specifications. Nationally, this code matters because it signals higher-cost, specialized equipment essential for safe patient handling, fall prevention, and pressure redistribution in acute, long-term care, and home settings.
Key payers addressed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context and common sites of service, plus what to expect in payer coverage discussion and benchmarking. The publication outlines typical utilization scenarios, coding considerations relevant to supply without mattress, and areas where policy updates or payer-specific coverage rules often arise.
This summary prepares clinicians, billing staff, and DME suppliers to understand the code’s purpose, where it applies clinically, and which national payers commonly appear in coverage discussions. Data not available in the input is noted where detailed payer policy language, taxonomies, ICD-10 pairings, and related codes would normally be provided.
Billing Code Overview
HCPCS Level II code E0301 describes a hospital bed, heavy duty, extra wide, with a weight capacity greater than 350 pounds but less than or equal to 600 pounds, supplied without a mattress. This durable medical equipment is intended to accommodate patients who require higher weight capacity and additional width compared with standard hospital beds.
Service type: Durable Medical Equipment (DME) — hospital bed
Typical site of service: Inpatient or outpatient hospital settings, long-term care facilities, and home health settings where a heavy-duty extra-wide bed is required.
Clinical & Coding Specifications
Clinical Context
A 68-year-old patient with morbid obesity and mobility limitations is discharged from an inpatient hospital stay following treatment for cellulitis and a subsequent non-surgical wound requiring extended bed rest. The patient’s body weight exceeds 350 pounds but is less than or equal to 600 pounds. The hospital discharge planner arranges durable medical equipment (DME) rental/purchase: a heavy-duty, extra-wide hospital bed without mattress coded as E0301. The typical clinical workflow includes an order from the attending physician or discharge coordinator specifying weight capacity and bed dimensions, DME supplier verification of insurance eligibility and medical necessity, delivery and in-home set-up by trained delivery personnel, and education of the patient and caregiver on bed rail use and safe transfers. Follow-up may include home health nursing visits for wound care and mobility assessment, and supplier return or adjustment if patient condition or payer authorization changes.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier — standard claim submission | Use when no additional modifier is required for the DME supply claim |
22 |