Question 1

What is HCPCS code E0304?

Accepted Answer

HCPCS code E0304 is "Hosp bed xtra hvy dty x wide". Hospital bed, extra heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress

Question 2

What category is E0304 in?

Accepted Answer

E0304 belongs to HCPCS Category E (Durable Medical Equipment (DME)).

Question 3

When should I use HCPCS code E0304?

Accepted Answer

Use E0304 when billing for hosp bed xtra hvy dty x wide. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is E0304 covered by Medicare?

Accepted Answer

Coverage for E0304 (Hosp bed xtra hvy dty x wide) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for E0304?

Accepted Answer

Documentation for E0304 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).