E0316 HCPCS code: Safety enclosure frame/canopy for use with hospital bed, any type
E0316 is the HCPCS Level II code for safety enclosure frame/canopy for use with hospital bed, any type. The 2026 Medicare DMEPOS fee schedule pays $182.59 to $286.86 (RR, rental (monthly)) depending on the state. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. The NCCI unit limit is 1 per day on DME suppliers. Medicare volume fell 79% from 2022 to 2024 (178 to 38 services). In 2024, 3 suppliers billed Medicare for E0316 (rentals), serving 0 beneficiaries. Its average fee ranks 7 of 13 E03 codes billed RR (family range $1.24–$617.56).
Code details
| Field | Value |
|---|---|
| Section | E codes — Durable medical equipment |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 36 — DMEPOS: capped rental item |
| BETOS category | D1B — Hospital beds |
| Added | 2002-01-01 |
| Last action effective | 2002-01-01 |
2026 Medicare DMEPOS fee schedule for E0316
| Modifier | Meaning | Lowest state fee | Highest state fee | Ceiling | Floor |
|---|---|---|---|---|---|
| RR | rental (monthly) | $182.59 | $286.86 | — | — |
| State | Modifier | Fee | Rural fee |
|---|---|---|---|
| AK | RR | $286.86 | — |
| AL | RR | $259.52 | $259.52 |
| AR | RR | $238.87 | $238.87 |
| AZ | RR | $220.59 | $220.59 |
| CA | RR | $249.56 | $249.56 |
| CO | RR | $244.56 | $244.56 |
| CT | RR | $259.52 | $259.52 |
| DC | RR | $255.17 | $259.52 |
| DE | RR | $255.17 | $259.52 |
| FL | RR | $259.52 | $259.52 |
| GA | RR | $259.52 | $259.52 |
| HI | RR | $233.95 | — |
| IA | RR | $259.52 | $259.52 |
| ID | RR | $247.24 | $247.24 |
| IL | RR | $238.69 | $238.69 |
| IN | RR | $257.75 | $259.52 |
| KS | RR | $259.52 | $259.52 |
| KY | RR | $259.52 | $259.52 |
| LA | RR | $239.22 | $239.22 |
| MA | RR | $259.52 | $259.52 |
| MD | RR | $253.22 | $253.22 |
| ME | RR | $259.52 | $259.52 |
| MI | RR | $240.40 | $240.40 |
| MN | RR | $259.52 | $259.52 |
| MO | RR | $259.52 | $259.52 |
| MS | RR | $251.66 | $251.66 |
| MT | RR | $235.76 | $235.76 |
| NC | RR | $259.52 | $259.52 |
| ND | RR | $237.52 | $237.52 |
| NE | RR | $259.52 | $259.52 |
| NH | RR | $259.52 | $259.52 |
| NJ | RR | $255.17 | $259.52 |
| NM | RR | $233.96 | $233.96 |
| NV | RR | $228.48 | $228.48 |
| NY | RR | $255.17 | $259.52 |
| OH | RR | $243.80 | $243.80 |
| OK | RR | $248.10 | $248.10 |
| OR | RR | $247.78 | $247.78 |
| PA | RR | $255.17 | $259.52 |
| PR | RR | $182.59 | — |
| RI | RR | $259.52 | $259.52 |
| SC | RR | $259.52 | $259.52 |
| SD | RR | $247.46 | $247.46 |
| TN | RR | $251.16 | $251.16 |
| TX | RR | $237.03 | $237.03 |
| UT | RR | $252.54 | $259.52 |
| VA | RR | $257.88 | $257.88 |
| VI | RR | $239.06 | — |
| VT | RR | $259.52 | $259.52 |
| WA | RR | $249.45 | $249.45 |
| WI | RR | $251.05 | $251.05 |
| WV | RR | $259.52 | $259.52 |
| WY | RR | $249.87 | $249.87 |
How the E0316 fee compares
| Measure | Value |
|---|---|
| Rank among 13 E03 codes billed RR (lowest = 1) | 7 |
| Family fee range (average of state fees) | $1.24–$617.56 |
| Rural fee uplift | 0.7% |
Who bills E0316 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | 3 |
| Suppliers billing purchases | — |
| Referring clinicians | 4 |
| Medicare beneficiaries | 0 |
| States with claims | 1 |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 6 | 29 |
| 2023 | 4 | 12 |
| 2024 | 3 | 0 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for E0316, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 178 | 29 | $173.56 | $134.84 |
| 2023 | 46 | 12 | $181.09 | $134.87 |
| 2024 | 38 | 0 | $187.04 | $146.37 |
States with the most E0316 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Louisiana | 11 | $146.91 |
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 E0316
- 2026-01-01: Average state fee (RR) rose 2.1%: $244.73 to $249.87
- 2002-01-01: E0316 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 E0316?
E0316 is the HCPCS Level II code for safety enclosure frame/canopy for use with hospital bed, any type. Short descriptor: "Bed safety enclosure".
How much does Medicare pay for E0316?
Under the 2026 DMEPOS fee schedule, non-rural state fees are RR (rental (monthly)): $182.59–$286.86. Rural fees can be higher.
Does Medicare cover E0316?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
Did the Medicare fee for E0316 change in 2026?
The average non-rural state fee for RR moved from $244.73 in 2025 to $249.87 in 2026 (+2.1%). CMS's next quarterly HCPCS and DMEPOS update takes effect January 1, 2027.
How many units of E0316 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)
- 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)
- 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
- 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 E0316
- Watch E0316 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for E0316
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.