Summary & Overview
HCPCS E0328: Pediatric Manual Hospital Bed with 360° Side Enclosures
HCPCS Level II code E0328 represents a pediatric manual hospital bed with full 360-degree side enclosures, top-mounted headboard and footboard, side rails up to 24 inches above the spring, and an included mattress. This equipment code is used when furnishing bedside infrastructure specifically configured for children who require secure containment, positioning, and a pediatric-sized sleeping surface. Nationwide, such durable medical equipment supports pediatric inpatient and outpatient care, behavioral health settings, and specialty clinics serving children with mobility or safety needs.
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 for pediatric hospital beds, the expected service settings, and the elements that define this HCPCS Level II code. The publication also outlines common billing modifiers associated with DME and highlights where data was not provided in the input.
This summary prepares clinicians, billing staff, and administrators to identify when HCPCS Level II code E0328 is appropriate for pediatric bed provision, understand payers commonly involved, and locate further details on billing practice, coverage policy, and procurement referenced elsewhere in the publication. Data not provided in the input is noted where applicable.
Billing Code Overview
HCPCS Level II code E0328 describes a hospital bed designed for pediatric patients. The description specifies a manual bed with 360 degree side enclosures, a top-mounted headboard, footboard, and side rails that extend up to 24 inches above the spring, and the code includes a mattress.
Service type: Durable medical equipment (DME) — pediatric hospital bed.
Typical site of service: Inpatient and outpatient hospital settings, pediatric specialty units, and other clinical environments where hospital beds for children are provided.
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A pediatric patient with complex medical needs requires a specialized hospital bed for safe inpatient care and transport within a facility. Example: a 4-year-old child with cerebral palsy and severe spasticity admitted for respiratory exacerbation who needs a pediatric manual bed with 360-degree side enclosures to prevent falls and protect against self-injury. The bed provides up to 24 inches of side rail height above the spring, a mattress included, and top-of-headboard and footboard protection to accommodate restraint needs and positioning for airway clearance. Clinical workflow: the admitting clinician documents the medical necessity for a pediatric bed in the admission orders; the pediatric unit’s respiratory therapist and nursing staff assess mobility and fall risk; durable medical equipment (DME) or hospital supply coordinates delivery and set-up in the room; nursing documents bed type and safety features in the plan of care; therapists use the bed for rehabilitation positioning; and discharge planning includes assessment for home DME needs if continuing use is required.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
22 | Increased procedural services | Use when unusually high complexity or time is documented related to bed provision beyond usual service (rare for DME rental/supply). |
52 |