E0260 — Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
E0260 is a HCPCS Level II code for hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress. It belongs to the Durable Medical Equipment section. Whether Medicare pays it depends on the coverage rule below.
Medicare coverage: Special coverage instructions apply
There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.
From the coverage field of the CMS Alpha-Numeric HCPCS File, release 2026Q3-Jul. This states Medicare’s position on the code, not on your particular claim.
Medically Unlikely Edits — units per day
The most units of E0260 Medicare will pay on one date of service. Bill more on a single line and it is denied. The limit is not the same in every setting, so the row that matters is the one matching the claim you are building.
- practitioner
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
- outpatient
- 0 — never payable MAI 3 — Date of Service Edit: Clinical · CMS Policy
- DME supplier
- 1 unit MAI 2 — Date of Service Edit: Policy · Code Descriptor / CPT Instruction
The adjudication indicator decides whether exceeding the limit is worth appealing at all: MAI 1 is a line edit you can support with documentation, MAI 3 is a date-of-service edit that is also appealable, and MAI 2 is absolute — no documentation overrides it. CMS MUE 2026Q3.
The CMS record for E0260
- Long descriptor
- Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
- Short descriptor
- Hosp bed semi-electr w/ matt
- Added
- January 1, 1986
- BETOS
- D1B
- Pricing indicator
- 36 — DMEPOS
The official wording. This is what the code means.
CMS's 28-character form, which is what shows up on a remittance advice.
When CMS introduced the code.
Berenson-Eggers Type of Service — CMS's own analytic grouping.
Capped rental DME. Price subject to floors and ceilings.
Codes adjacent to E0260
HCPCS has no hierarchy — related items simply sit next to each other in the numbering. If E0260 is not quite right, the correct code is very often within a few positions of it.
- E0246Transfer tub rail attachment
- E0247Transfer bench for tub or toilet with or without commode opening
- E0248Transfer bench, heavy duty, for tub or toilet with or without commode opening
- E0249Pad for water circulating heat unit, for replacement only
- E0250Hospital bed, fixed height, with any type side rails, with mattress
- E0251Hospital bed, fixed height, with any type side rails, without mattress
- E0255Hospital bed, variable height, hi-lo, with any type side rails, with mattress
- E0256Hospital bed, variable height, hi-lo, with any type side rails, without mattress
- E0261Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress
- E0265Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress
- E0266Hospital bed, total electric (head, foot and height adjustments), with any type side rails, without mattress
- E0270Hospital bed, institutional type includes: oscillating, circulating and stryker frame, with mattress
- E0271Mattress, innerspring
- E0272Mattress, foam rubber
- E0273Bed board
- E0274Over-bed table
Questions about E0260
What is HCPCS code E0260?
E0260 is a HCPCS Level II code for hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress. It sits in the Durable Medical Equipment section.
Does Medicare cover E0260?
The CMS HCPCS file marks E0260 as "Special coverage instructions apply". There are published conditions attached to this code. Check the applicable coverage policy before billing it: the code being valid is not the same as the service being covered.