E0305 HCPCS code: Bed side rails, half length
E0305 is the HCPCS Level II code for bed side rails, half length. The 2026 Medicare DMEPOS fee schedule pays $12.31 to $22.32 (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 2 per day on DME suppliers. Medicare volume fell 14% from 2022 to 2024 (21,395 to 18,334 services). In 2024, 121 suppliers billed Medicare for E0305 (rentals), serving 3,281 beneficiaries; California, Florida, Indiana accounted for 92% of services. Its average fee ranks 3 of 13 E03 codes billed RR (family range $1.24–$617.56); rural fees run 28% 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 | 1986-01-01 |
| Last action effective | 1990-01-01 |
2026 Medicare DMEPOS fee schedule for E0305
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $12.31 | $22.32 | — | — |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $21.47 | — |
| AL | RR | $13.74 | $16.65 |
| AR | RR | $13.74 | $16.65 |
| AZ | RR | $13.48 | $18.17 |
| CA | RR | $12.77 | $18.28 |
| CO | RR | $13.14 | $17.83 |
| CT | RR | $13.54 | $18.28 |
| DC | RR | $12.47 | $18.28 |
| DE | RR | $12.47 | $18.28 |
| FL | RR | $13.74 | $16.65 |
| GA | RR | $13.74 | $16.65 |
| HI | RR | $22.32 | — |
| IA | RR | $13.77 | $18.28 |
| ID | RR | $13.14 | $17.78 |
| IL | RR | $13.49 | $18.28 |
| IN | RR | $13.49 | $18.28 |
| KS | RR | $13.77 | $18.28 |
| KY | RR | $13.74 | $18.28 |
| LA | RR | $13.74 | $16.65 |
| MA | RR | $13.54 | $18.28 |
| MD | RR | $12.47 | $17.28 |
| ME | RR | $13.54 | $18.28 |
| MI | RR | $13.49 | $16.77 |
| MN | RR | $13.77 | $18.24 |
| MO | RR | $13.77 | $18.28 |
| MS | RR | $13.74 | $18.28 |
| MT | RR | $13.14 | $18.28 |
| NC | RR | $13.74 | $16.65 |
| ND | RR | $13.77 | $16.67 |
| NE | RR | $13.77 | $18.28 |
| NH | RR | $13.54 | $18.28 |
| NJ | RR | $12.47 | $16.65 |
| NM | RR | $13.48 | $18.28 |
| NV | RR | $12.77 | $18.28 |
| NY | RR | $12.47 | $16.65 |
| OH | RR | $13.49 | $17.74 |
| OK | RR | $13.48 | $18.28 |
| OR | RR | $12.77 | $16.65 |
| PA | RR | $12.47 | $17.19 |
| PR | RR | $12.31 | — |
| RI | RR | $13.54 | $17.29 |
| SC | RR | $13.74 | $16.65 |
| SD | RR | $13.77 | $17.50 |
| TN | RR | $13.74 | $16.65 |
| TX | RR | $13.48 | $18.28 |
| UT | RR | $13.14 | $17.59 |
| VA | RR | $13.74 | $18.28 |
| VI | RR | $18.58 | — |
| VT | RR | $13.54 | $18.28 |
| WA | RR | $12.77 | $18.28 |
| WI | RR | $13.49 | $18.28 |
| WV | RR | $13.74 | $16.65 |
| WY | RR | $13.14 | $18.28 |
How the E0305 fee compares
| Measure | Value |
|---|---|
| Rank among 13 E03 codes billed RR (lowest = 1) | 3 |
| Family fee range (average of state fees) | $1.24–$617.56 |
| Rural fee uplift | 28.4% |
Who bills E0305 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 121 |
| Suppliers billing purchases | — |
| Referring clinicians | 1,670 |
| Medicare beneficiaries | 3,281 |
| States with claims | 29 |
| Share of services in top 3 states (California, Florida, Indiana) | 92% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 165 | 3,499 |
| 2023 | 118 | 2,756 |
| 2024 | 121 | 3,281 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E0305, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 21,395 | 3,499 | $9.27 | $6.73 |
| 2023 | 17,893 | 2,756 | $10.03 | $7.62 |
| 2024 | 18,334 | 3,281 | $10.18 | $7.65 |
States with the most E0305 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 12,323 | $7.56 |
| Florida | 3,512 | $7.71 |
| Indiana | 1,010 | $8.68 |
| Pennsylvania | 316 | $7.00 |
| New York | 197 | $6.87 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 2 | Clinical: Data |
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 E0305
- 2026-01-01: Average state fee (RR) rose 2.7%: $13.42 to $13.78
- 1986-01-01: E0305 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 E0305?
E0305 is the HCPCS Level II code for bed side rails, half length. Short descriptor: "Rails bed side half length".
How much does Medicare pay for E0305?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $12.31–$22.32. Rural fees can be higher.
Does Medicare cover E0305?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Did the Medicare fee for E0305 change in 2026?
The average non-rural state fee for RR moved from $13.42 in 2025 to $13.78 in 2026 (+2.7%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E0305 can be billed per day?
2 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)
- E0304 — Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress ($573.26–$898.22)
- 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 E0305
- Watch E0305 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0305
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.