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HCPCS E0304: Extra Heavy-Duty Extra-Wide Hospital Bed (>600 lb)

HCPCS Level II code E0304 denotes an extra heavy-duty, extra-wide hospital bed with a weight capacity greater than 600 pounds, side rails, and mattress. This equipment classification matters nationally as demand for bariatric inpatient and residential care equipment grows with an aging and higher-BMI population; correct coding ensures appropriate supply provisioning and claims processing for institutions and DME suppliers. Key payers in national coverage and reimbursement discussions include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.

Readers will learn the clinical context for bariatric hospital beds, the typical sites of service where E0304 applies, and what documentation and coding clarity support institutional procurement and billing. The publication also summarizes common modifier usage where available, contrasts E0304 with other hospital bed classifications, and highlights policy considerations relevant to payer coverage determinations and medical necessity reviews. Data not available in the input will be noted explicitly where applicable.

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Billing Code Overview

HCPCS Level II code E0304 describes a hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress. This item is a durable medical equipment supply intended to provide inpatient-style bariatric support for patients requiring a bed rated above 600 pounds.

Service type: Durable medical equipment (bariatric hospital bed)
Typical site of service: Hospital inpatient units, long-term acute care facilities, skilled nursing facilities, and other institutional or residential care settings where heavy-duty hospital beds are required.

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HCPCS E0304: Extra Heavy-Duty Extra-Wide Hospital Bed (>600 lb)

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Billing Code Overview

Service type: Durable medical equipment (bariatric hospital bed)
Typical site of service: Hospital inpatient units, long-term acute care facilities, skilled nursing facilities, and other institutional or residential care settings where heavy-duty hospital beds are required.

Clinical & Coding Specifications

Clinical Context

A 58-year-old patient with morbid obesity and limited mobility is discharged from an acute care hospital after treatment for congestive heart failure exacerbation. The patient requires a home hospital bed rated for weight capacity greater than 600 pounds to provide safe positioning, pressure redistribution with the included mattress, and side rails for caregiver transfers. Durable medical equipment (DME) coordination is requested by the hospital discharge planner. The clinical workflow includes a physician’s order specifying E0304, documentation of medical necessity (diagnoses, mobility limitations, skin integrity risk), DME supplier assessment at the patient’s home for access and safety, delivery and setup of the extra heavy duty extra wide hospital bed with mattress, patient/caregiver education on use of side rails and bed functions, and documentation of delivery and any training in the medical record.

Coding Specifications

Modifier	Description	When to Use
`00`	No modifier — default billing	Use as the default when no other modifier applies for payer-specific submissions.
`52`	Reduced services	Use if supplier provides a bed with fewer components than ordered (for example, delivered without certain accessories).
`53`	Discontinued procedure	Rare for DME; use if order is cancelled after initiation of delivery/setup.
`62`	Two surgeons (team) — CMS context	Not typically used for DME; include only if an unusual billing arrangement requires team reporting.
`78`	Unplanned return to the operating/procedure room	Not applicable to typical DME; used if equipment delivery relates to a return to OR for inpatient care.
`80`	Assistant at surgery	Not applicable for DME supply; not commonly used.
`GA`	Waiver of liability statement on file (Note: not in provided list)	Data not available in the input.
`AS`	Physician assistant, nurse practitioner, or clinical nurse specialist billing	Use when an advanced practice clinician is the ordering practitioner and payer requires modifier reporting.
`CO`	Contractual obligation	Use to identify contractual adjustments per payer policy when applicable.
`KK`	State-specific modifiers (not in list)	Data not available in the input.
`QK`	Travel and personal funds (DME-related Q modifiers)	Use for supplier credentialing or specific payer reporting when applicable.
`QX`	Ordering/Referring NP/PA modifier	Use when an ordering/servicing provider is a physician assistant and payer requires identification.
`RB`	Replacement of DME under warranty (not standard for HCPCS)	Use if the bed is a replacement under warranty when a payer accepts this modifier.
`TC`	Technical component	Use rarely for DME when splitting professional/technical components for billing arrangements.

Taxonomy Code	Specialty	Notes
`251B00000X`	General Practice	Primary care physicians commonly write DME orders for durable medical equipment.
`207Q00000X`	Physical Medicine & Rehabilitation	Physiatrists assess mobility and recommend bariatric hospital beds.
`2080P0208X`	Internal Medicine	Hospitalists or internists provide discharge orders for home hospital beds.
`222100000X`	Nursing Facility	Skilled nursing facility clinicians coordinate DME for transitions of care.
`363L00000X`	Durable Medical Equipment & Medical Supplies Supplier	DME suppliers perform home assessments, delivery, and setup.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`E66.01`	Morbid (severe) obesity due to excess calories	Common indication for an extra heavy duty, extra wide hospital bed to support patient weight and prevent equipment failure.
`R26.89`	Other abnormalities of gait and mobility	Indicates limited mobility requiring a stable hospital bed with side rails and larger width for safe transfers.
`I50.9`	Heart failure, unspecified	Patients hospitalized for heart failure may require discharge to home with an adjustable hospital bed for positioning and care.
`Z74.3`	Need for continuous supervision	Reflects patients requiring supportive DME and caregiver assistance, justifying bed provision.
`L89.909`	Pressure ulcer, unspecified site, unspecified stage	Patients at risk for or with existing pressure injuries need appropriate mattress and bed frame for pressure redistribution.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`99238`	Hospital discharge day management; 30 minutes or less	Used by the inpatient physician to document discharge planning that includes DME orders such as `E0304`.
`99214`	Office or other outpatient visit for evaluation and management, established patient, moderate complexity	Used in outpatient settings when a clinician documents medical necessity for a bariatric hospital bed prior to discharge or home health setup.
`99501`	Home visit for venous access device care (older/rare) — (Note: example)	Represents home-based services; included as an example of home-care visits that may coordinate DME setup.
`97535`	Self-care/home management training (e.g., activities of daily living and compensatory training)	Physical or occupational therapy training for patient/caregiver on bed transfers and safe use of side rails after delivery of `E0304`.
`97001`	Physical therapy evaluation (older terminology)	Therapy evaluations inform the specification of extra wide/extra heavy bed needs and justify `E0304`.

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
`00`	No modifier — default billing	Use as the default when no other modifier applies for payer-specific submissions.
`52`	Reduced services	Use if supplier provides a bed with fewer components than ordered (for example, delivered without certain accessories).
`53`	Discontinued procedure	Rare for DME; use if order is cancelled after initiation of delivery/setup.
`62`	Two surgeons (team) — CMS context	Not typically used for DME; include only if an unusual billing arrangement requires team reporting.
`78`	Unplanned return to the operating/procedure room	Not applicable to typical DME; used if equipment delivery relates to a return to OR for inpatient care.
`80`	Assistant at surgery	Not applicable for DME supply; not commonly used.
`GA`	Waiver of liability statement on file (Note: not in provided list)	Data not available in the input.
`AS`	Physician assistant, nurse practitioner, or clinical nurse specialist billing	Use when an advanced practice clinician is the ordering practitioner and payer requires modifier reporting.
`CO`	Contractual obligation	Use to identify contractual adjustments per payer policy when applicable.
`KK`	State-specific modifiers (not in list)	Data not available in the input.
`QK`	Travel and personal funds (DME-related Q modifiers)	Use for supplier credentialing or specific payer reporting when applicable.
`QX`	Ordering/Referring NP/PA modifier	Use when an ordering/servicing provider is a physician assistant and payer requires identification.
`RB`	Replacement of DME under warranty (not standard for HCPCS)	Use if the bed is a replacement under warranty when a payer accepts this modifier.
`TC`	Technical component	Use rarely for DME when splitting professional/technical components for billing arrangements.

Taxonomy Code	Specialty	Notes
`251B00000X`	General Practice	Primary care physicians commonly write DME orders for durable medical equipment.
`207Q00000X`	Physical Medicine & Rehabilitation	Physiatrists assess mobility and recommend bariatric hospital beds.
`2080P0208X`	Internal Medicine	Hospitalists or internists provide discharge orders for home hospital beds.
`222100000X`	Nursing Facility	Skilled nursing facility clinicians coordinate DME for transitions of care.
`363L00000X`	Durable Medical Equipment & Medical Supplies Supplier	DME suppliers perform home assessments, delivery, and setup.

Related Diagnoses

ICD-10 Code	Description	Clinical Relevance
`E66.01`	Morbid (severe) obesity due to excess calories	Common indication for an extra heavy duty, extra wide hospital bed to support patient weight and prevent equipment failure.
`R26.89`	Other abnormalities of gait and mobility	Indicates limited mobility requiring a stable hospital bed with side rails and larger width for safe transfers.
`I50.9`	Heart failure, unspecified	Patients hospitalized for heart failure may require discharge to home with an adjustable hospital bed for positioning and care.
`Z74.3`	Need for continuous supervision	Reflects patients requiring supportive DME and caregiver assistance, justifying bed provision.
`L89.909`	Pressure ulcer, unspecified site, unspecified stage	Patients at risk for or with existing pressure injuries need appropriate mattress and bed frame for pressure redistribution.

Related CPT Codes

CPT Code	Description	Relationship to This Procedure
`99238`	Hospital discharge day management; 30 minutes or less	Used by the inpatient physician to document discharge planning that includes DME orders such as `E0304`.
`99214`	Office or other outpatient visit for evaluation and management, established patient, moderate complexity	Used in outpatient settings when a clinician documents medical necessity for a bariatric hospital bed prior to discharge or home health setup.
`99501`	Home visit for venous access device care (older/rare) — (Note: example)	Represents home-based services; included as an example of home-care visits that may coordinate DME setup.
`97535`	Self-care/home management training (e.g., activities of daily living and compensatory training)	Physical or occupational therapy training for patient/caregiver on bed transfers and safe use of side rails after delivery of `E0304`.
`97001`	Physical therapy evaluation (older terminology)	Therapy evaluations inform the specification of extra wide/extra heavy bed needs and justify `E0304`.

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 E0304: Extra Heavy-Duty Extra-Wide Hospital Bed (>600 lb)

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Billing Code Overview

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HCPCS E0304: Extra Heavy-Duty Extra-Wide Hospital Bed (>600 lb)

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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