Summary & Overview
HCPCS E0302: Extra Heavy Duty Extra Wide Hospital Bed, >600 lb
HCPCS Level II code E0302 represents an extra heavy duty, extra wide hospital bed designed for patients with weight capacity greater than 600 pounds; it is supplied without a mattress and includes side rails. This DME-focused HCPCS code matters nationally because of the increasing prevalence of bariatric needs across acute, post-acute, and home care settings, and because proper coding affects coverage determinations, claims workflows, and access to appropriate equipment for patients with high-weight requirements. Key payers included in the analysis are Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
Readers will learn the clinical and service context for E0302, the typical sites of service where this bed is used, common billing modifiers applicable to HCPCS claims (input provided separately), and where data is not available in the input. The summary highlights policy and operational issues that commonly influence coverage decisions and claim adjudication for bariatric hospital beds, including documentation of medical necessity and durable medical equipment supplier criteria. This publication provides benchmarks and guidance on fields to review in claims and prior authorization workflows, along with a concise reference for coding teams and revenue cycle staff managing E0302 billing.
Billing Code Overview
HCPCS Level II code E0302 describes a hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress. This item is a durable medical equipment (DME) supply intended for patients who require a bariatric hospital bed for safe positioning and care.
-
Service type: Durable medical equipment (DME) hospital bed supply
-
Typical site of service: Inpatient facility use, long-term care facilities, and home health settings where a bariatric hospital bed is required
Clinical & Coding Specifications
Clinical Context
A patient with extreme body habitus or morbid obesity requires an inpatient hospital bed capable of supporting weights greater than 600 pounds. Typical scenarios include post-operative patients after bariatric surgery, patients with advanced mobility impairment due to spinal cord injury or severe musculoskeletal disease, or patients with pressure injury risk who require a wider, extra heavy duty bed for safe transfer and repositioning. The clinical workflow begins with a physician or discharge planner documenting medical necessity for an extra heavy duty, extra wide hospital bed (without mattress) in the chart, including weight capacity requirements and clinical rationale (e.g., safe transfer, pressure redistribution, wound care access). Durable medical equipment (DME) or hospital supply coordinates selection and procurement of E0302, verifies reimbursement coverage, arranges delivery to the inpatient unit or discharge address, documents serial/model numbers and setup, and educates nursing and caregivers on safe use. Orders typically reference the patient’s weight, mobility limitations, and any need for specialized side rails or support accessories. Billing is submitted under HCPCS code E0302 with appropriate modifiers to indicate situations such as bilateral procedures, unusual services, or provider/supplier circumstances as required by the payer policy.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 |