Medicare-Covered Hospital Beds: Hospital Beds with HCPCS Codes

Medicare Coverage Requirements for Hospital Beds

Medicare coverage depends on more than just having the right HCPCS codes. Your doctor, who must be enrolled in Medicare, needs to provide a detailed prescription and documentation demonstrating the medical necessity of a hospital bed for your specific condition. This includes why a hospital bed is needed over a regular bed and how it will improve your health and comfort.

HCPCS Codes and Medical Necessity: MedShop Direct’s Medacure & Proactive Medical Beds

Our Medacure and Proactive Medical beds come with the required HCPCS codes vital for Medicare claims. However, MedShop Direct does not bill Medicare directly or manage any coverage approvals. The responsibility for verifying eligibility and obtaining approval rests solely with the customer and Medicare. Having the correct HCPCS code is a critical part of your claim but not a guarantee of coverage.

Important: You must confirm your Medicare coverage and eligibility directly with Medicare. For full details, visit: https://www.medicare.gov/coverage/hospital-beds

Visit MedShopDirect.com for a wider selection. Call us 833-499-4450 for any questions.

For Protekt Proactive Medical Beds, the Medicare HCPCS codes vary depending on the specific model and features:

• Full-Electric Bed with Half or Full Rails (No support surface): E0266
• Full-Electric Bed with Half or Full Rails (With support surface, Group 1): E0265
• Full-Electric Bed without Rails (No Support Surface): E0297
• Half Length Side Rails (pair): E0305
• Full Length Side Rails (pair): E0310

To ensure accuracy and the most up-to-date coding information, please view the PDAC Codes listed on each product page at MedShop Direct. This will help you confirm the precise HCPCS codes relevant to the specific Protekt Bed model you are interested in.