Question 1

What is HCPCS code E0328?

Accepted Answer

HCPCS code E0328 is "Ped hospital bed, manual". Hospital bed, pediatric, manual, 360 degree side enclosures, top of headboard, footboard and side rails up to 24 inches above the spring, includes mattress

Question 2

What category is E0328 in?

Accepted Answer

E0328 belongs to HCPCS Category E (Durable Medical Equipment (DME)).

Question 3

When should I use HCPCS code E0328?

Accepted Answer

Use E0328 when billing for ped hospital bed, manual. 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 E0328 covered by Medicare?

Accepted Answer

Coverage for E0328 (Ped hospital bed, manual) 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 E0328?

Accepted Answer

Documentation for E0328 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).