2025 HCPCS code E0329

Pediatric hospital bed, electric or semi-electric, with 360-degree side enclosures. The top of the headboard, footboard, and side rails measure up to 24 inches above the spring, and a mattress is included.

Always verify the patient's age to confirm that a pediatric bed is appropriate. If the patient is an adult, use a different HCPCS code.

Modifiers such as KX (Requirements specified in the medical policy have been met), GA (Waiver of liability statement issued as required by payer policy, individual case), or GZ (Item or service expected to be denied as not reasonable and necessary) may be applicable depending on the payer and circumstances.

Medical necessity must be established by demonstrating that the patient's condition requires the specific features of the E0329 bed, such as the adjustable height and side rails, and that a standard hospital bed is insufficient to meet their needs.

The provider is responsible for documenting the patient encounter, the medical necessity of the DME, and ensuring the bed meets the patient's specific needs.

IMPORTANT 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) for manual hospital beds

In simple words: This code covers a special bed for children in the hospital. It can be electric, where you can move the head and foot up and down with buttons, or semi-electric, where you might need to adjust the height by hand but can still move the head and foot with buttons. The bed has rails all around to keep the child safe, and they don't go higher than 24 inches from the mattress. A mattress comes with the bed.

This code represents a pediatric hospital bed that is either fully electric, allowing electronic adjustment of bed height and head/leg elevation, or semi-electric, requiring manual height adjustment but with electric controls for head/leg elevation.The bed features 360-degree side enclosures, and the headboard, footboard, and side rails reach a height of up to 24 inches above the spring. A mattress is included with the bed.

Example 1: A 5-year-old patient with pneumonia requiring hospitalization and respiratory support needs a bed with adjustable head and leg elevation for optimal breathing. The E0329 bed is provided to facilitate this., A 3-year-old patient with a fractured femur requires prolonged bed rest. The E0329 bed is provided to ensure safety and comfort during recovery, with the side rails preventing falls and the electric controls allowing for position changes., A 7-year-old with cerebral palsy and limited mobility is hospitalized for an infection.The E0329 bed allows for adjustments to support their posture and provide pressure relief, minimizing the risk of pressure sores.

Documentation should include the patient's diagnosis, the medical reason for requiring the specialized bed, the type of bed provided (electric or semi-electric), and any accessories used.

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