E0304 HCPCS code: Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress
E0304 is the HCPCS Level II code for hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress. The 2026 Medicare DMEPOS fee schedule pays $573.26 to $898.22 (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 fell 48% from 2022 to 2024 (815 to 420 services). In 2024, 75 suppliers billed Medicare for E0304 (rentals), serving 83 beneficiaries; Indiana, California, Illinois accounted for 42% of services. Its average fee ranks 13 of 13 E03 codes billed RR (family range $1.24–$617.56); rural fees run 30% higher.
Code details
| Field | Value |
|---|---|
| Section | E codes — Durable medical equipment |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 36 — DMEPOS: capped rental item |
| BETOS category | D1B — Hospital beds |
| Added | 2004-01-01 |
| Last action effective | 2004-01-01 |
2026 Medicare DMEPOS fee schedule for E0304
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $573.26 | $898.22 | — | — |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $803.56 | — |
| AL | RR | $627.10 | $803.56 |
| AR | RR | $627.10 | $803.56 |
| AZ | RR | $595.97 | $803.56 |
| CA | RR | $573.26 | $803.56 |
| CO | RR | $594.89 | $803.56 |
| CT | RR | $595.34 | $803.56 |
| DC | RR | $578.37 | $803.56 |
| DE | RR | $578.37 | $803.56 |
| FL | RR | $627.10 | $803.56 |
| GA | RR | $627.10 | $803.56 |
| HI | RR | $803.56 | — |
| IA | RR | $594.30 | $803.56 |
| ID | RR | $594.89 | $803.56 |
| IL | RR | $608.58 | $803.56 |
| IN | RR | $608.58 | $803.56 |
| KS | RR | $594.30 | $732.57 |
| KY | RR | $627.10 | $803.56 |
| LA | RR | $627.10 | $803.56 |
| MA | RR | $595.34 | $803.56 |
| MD | RR | $578.37 | $803.56 |
| ME | RR | $595.34 | $803.56 |
| MI | RR | $608.58 | $803.56 |
| MN | RR | $594.30 | $803.56 |
| MO | RR | $594.30 | $803.56 |
| MS | RR | $627.10 | $803.56 |
| MT | RR | $594.89 | $803.56 |
| NC | RR | $627.10 | $803.56 |
| ND | RR | $594.30 | $803.56 |
| NE | RR | $594.30 | $803.56 |
| NH | RR | $595.34 | $803.56 |
| NJ | RR | $578.37 | $803.56 |
| NM | RR | $595.97 | $803.56 |
| NV | RR | $573.26 | $803.56 |
| NY | RR | $578.37 | $803.56 |
| OH | RR | $608.58 | $803.56 |
| OK | RR | $595.97 | $803.56 |
| OR | RR | $573.26 | $803.56 |
| PA | RR | $578.37 | $803.56 |
| PR | RR | $898.22 | — |
| RI | RR | $595.34 | $803.56 |
| SC | RR | $627.10 | $803.56 |
| SD | RR | $594.30 | $803.56 |
| TN | RR | $627.10 | $803.56 |
| TX | RR | $595.97 | $803.56 |
| UT | RR | $594.89 | $803.56 |
| VA | RR | $627.10 | $803.56 |
| VI | RR | $803.56 | — |
| VT | RR | $595.34 | $803.56 |
| WA | RR | $573.26 | $803.56 |
| WI | RR | $608.58 | $803.56 |
| WV | RR | $627.10 | $803.56 |
| WY | RR | $594.89 | $803.56 |
How the E0304 fee compares
| Measure | Value |
|---|---|
| Rank among 13 E03 codes billed RR (lowest = 1) | 13 |
| Family fee range (average of state fees) | $1.24–$617.56 |
| Rural fee uplift | 29.9% |
Who bills E0304 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 75 |
| Suppliers billing purchases | — |
| Referring clinicians | 83 |
| Medicare beneficiaries | 83 |
| States with claims | 15 |
| Share of services in top 3 states (Indiana, California, Illinois) | 42% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 115 | 150 |
| 2023 | 88 | 111 |
| 2024 | 75 | 83 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E0304, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 815 | 150 | $478.29 | $363.63 |
| 2023 | 537 | 111 | $517.40 | $393.70 |
| 2024 | 420 | 83 | $510.93 | $387.50 |
States with the most E0304 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Indiana | 66 | $348.00 |
| California | 53 | $335.46 |
| Illinois | 28 | $346.35 |
| Ohio | 25 | $419.14 |
| Minnesota | 24 | $376.59 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Code Descriptor / CPT Instruction |
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 E0304
- 2026-01-01: Average state fee (RR) rose 2.7%: $601.58 to $617.56
- 2004-01-01: E0304 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 E0304?
E0304 is the HCPCS Level II code for hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress. Short descriptor: "Hosp bed xtra hvy dty x wide".
How much does Medicare pay for E0304?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $573.26–$898.22. Rural fees can be higher.
Does Medicare cover E0304?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for E0304 change in 2026?
The average non-rural state fee for RR moved from $601.58 in 2025 to $617.56 in 2026 (+2.7%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E0304 can be billed per day?
1 on DME suppliers (NCCI medically unlikely edits).
Related E03 codes
- E0300 — Pediatric crib, hospital grade, fully enclosed, with or without top enclosure ($319.91–$369.16)
- E0301 — Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress ($187.86–$308.87)
- E0302 — Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, without mattress ($564.29–$862.87)
- E0303 — Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, with mattress ($189.35–$330.83)
- E0305 — Bed side rails, half length ($12.31–$22.32)
- E0310 — Bed side rails, full length ($12.98–$203.16)
- E0315 — Bed accessory: board, table, or support device, any type
- E0316 — Safety enclosure frame/canopy for use with hospital bed, any type ($182.59–$286.86)
- E0325 — Urinal; male, jug-type, any material ($1.04–$14.22)
- E0326 — Urinal; female, jug-type, any material ($1.18–$20.09)
- E0328 — Hospital bed, pediatric, manual, 360 degree side enclosures, top of headboard, footboard and side rails up to 24 inches above the spring, includes mattress
- E0329 — Hospital bed, pediatric, electric or semi-electric, 360 degree side enclosures, top of headboard, footboard and side rails up to 24 inches above the spring, includes mattress
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under E0304
- Watch E0304 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0304
Sources: CMS HCPCS Level II release October 2025; 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.