E0294 HCPCS code: Hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress

E0294 is the HCPCS Level II code for hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress. The 2026 Medicare DMEPOS fee schedule pays $72.80 to $165.00 (RR, rental (monthly)) depending on the state. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 1 per day on DME suppliers. Medicare volume rose 21% from 2022 to 2024 (6,309 to 7,619 services). In 2024, 124 suppliers billed Medicare for E0294 (rentals), serving 1,592 beneficiaries; Illinois, Indiana, Michigan accounted for 56% of services. Its average fee ranks 27 of 34 E02 codes billed RR (family range $1.55–$263.61); rural fees run 46% higher.

Code details

2026 Medicare DMEPOS fee schedule for E0294

How the E0294 fee compares

Who bills E0294 (2024)

Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.

Medicare utilization for E0294, 2022–2024

States with the most E0294 services (2024)

NCCI unit limits (MUE)

Medicare policy articles for this code

• A52508: Hospital Beds And Accessories - Policy Article (CGS Administrators, LLC (DME MAC) Noridian Healthcare Solutions, LLC (DME MAC)) — mentions this code in its coding guidance

What changed for E0294

• 2026-01-01: Average state fee (RR) rose 2.6%: $78.29 to $80.36
• 1991-01-01: E0294 added to HCPCS Level II
• Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01

Frequently asked questions

What is HCPCS code E0294?

E0294 is the HCPCS Level II code for hospital bed, semi-electric (head and foot adjustment), without side rails, with mattress. Short descriptor: "Hosp bed semi-elect w/ mattr".

How much does Medicare pay for E0294?

Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $72.80–$165.00. Rural fees can be higher.

Does Medicare cover E0294?

Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.

Did the Medicare fee for E0294 change in 2026?

The average non-rural state fee for RR moved from $78.29 in 2025 to $80.36 in 2026 (+2.6%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.

How many units of E0294 can be billed per day?

1 on DME suppliers (NCCI medically unlikely edits).

Related E02 codes

• E0200 — Heat lamp, without stand (table model), includes bulb, or infrared element ($13.04–$237.31)
• E0201 — Penile contracture device, manual, greater than 3 lbs traction force ($14.65–$146.52)
• E0202 — Phototherapy (bilirubin) light with photometer ($75.19–$320.58)
• E0203 — Therapeutic lightbox, minimum 10,000 lux, table top model
• E0205 — Heat lamp, with stand, includes bulb, or infrared element ($25.87–$370.65)
• E0210 — Electric heat pad, standard ($3.73–$127.76)
• E0215 — Electric heat pad, moist ($8.98–$155.37)
• E0217 — Water circulating heat pad with pump ($66.95–$923.22)
• E0218 — Fluid circulating cold pad with pump, any type
• E0221 — Infrared heating pad system
• E0225 — Hydrocollator unit, includes pads ($46.40–$682.90)
• E0231 — Non-contact wound warming device (temperature control unit, ac adapter and power cord) for use with warming card and wound cover

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Next steps

• Run a reimbursement report for a device billed under E0294
• Watch E0294 for fee, coverage and descriptor changes
• Build a full Medicare revenue model for E0294

Sources: CMS HCPCS Level II release October 2026; CMS DMEPOS fee schedule 2026; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.

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