E0260 HCPCS Code: Semi-Electric Hospital Bed

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HCPCS Level II

What this code describes

E0260 identifies a hospital bed with electrically adjusted head and foot sections, side rails, and a mattress.

This is a plain-language summary of the CMS descriptor. Verify the exact item configuration against the official entry before billing.

Equipment family: Hospital beds
Mattress: Included in descriptor
Side rails: Included in descriptor
Fee amount: Q3 2026 source-based preview available

Official July 2026 descriptor

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress

CMS July 2026 HCPCS file · E0260 · Pricing indicator 36 (capped rental). The description is separate from the plain-language summary above.

A code is not a coverage decision

The hospital-bed LCD connects semi-electric coverage to the fixed-height bed criteria plus a need for frequent or immediate changes in body position. Read the full policy, including its applicable version and documentation rules.

Review coverage context

Check these before a claim

Prescribed item and supplied configuration
Medical record supporting the applicable criteria
Current policy, order and documentation requirements
Date of service, location and billing modifiers

Preview the fee lookup

Explore the imported Q3 2026 E0260 schedule by ZIP or manual area. Evan approved the fixed-snapshot review on September 30, 2026.

Open fee lookup

Related equipment and codes

Compare mattress inclusion and adjustment features before selecting a neighboring code. This collection contains E0260 only.

Compare hospital-bed types

Policy versions used in this reference

CMS source snapshot checked September 30, 2026. Version, effective date and source update date are separate fields. Confirm the edition applicable to the date of service.

Policy / CMS version	Revision label	Revision effective date	Source updated
L33820 · v21	R6	2020-01-01	2020-02-13
A52508 · v39	R7	2020-01-01	2022-04-07
A55426 · v132	R28	2024-01-01	2026-06-24
NCD 280.7 · v1	Not displayed	Not posted by CMS	2022-10-04

NCD 280.7 is a national policy. CMS has not posted its effective date; no date is inferred. Its version and update date come from CMS embedded document metadata. LCD/article versions are also checked against the public version table. An open ending date does not guarantee future applicability.

Applicable jurisdiction

NCD 280.7 provides the national coverage layer. L33820, A52508 and A55426 list the following DME MAC contracts and state/territory scopes. This reference summarizes Original Medicare; Medicare Advantage plan requirements need separate confirmation.

J-A · Noridian Healthcare Solutions, LLC · Contract 16013

CT, DE, DC, ME, MD, MA, NH, NJ, NY, PA, RI, VT

J-B · CGS Administrators, LLC · Contract 17013

IL, IN, KY, MI, MN, OH, WI

J-C · CGS Administrators, LLC · Contract 18003

AL, AR, CO, FL, GA, LA, MS, NM, NC, OK, PR, SC, TN, TX, VI, VA, WV

J-D · Noridian Healthcare Solutions, LLC · Contract 19003

AK, AS, AZ, CA, GU, HI, ID, IA, KS, MO, MT, NE, NV, ND, MP, OR, SD, UT, WA, WY

DME MAC policy jurisdiction is separate from fee-schedule Former CBA and rural ZIP geography. The fee lookup does not select or approve a coverage policy.

Order and documentation context

A55426 requires a standard written order (SWO) before a claim is submitted, supporting medical records, and supplier proof-of-delivery records. Item-specific LCD and policy-article requirements must also be checked.
Face-to-face encounter and written-order-prior-to-delivery (WOPD) rules apply to selected items on the applicable required list; they are not a blanket requirement for all hospital-bed codes.
The CMS E0260 status page, observed September 30, 2026, says “No” for prior authorization and F2F/WOPD. This observation is not a historical determination and does not waive SWO or coverage requirements.
NCD 280.7 section D adds the ability to operate powered controls, with specified exceptions, to the frequent/immediate-positioning context. Read the full NCD and LCD rather than using this summary as an eligibility checklist.

The currently linked CMS required-list PDF is effective October 28, 2026. It is retained as future evidence and is not applied to the July–September 2026 fee preview.

Editorial review record

Source check: Completed by Codex (automated assistant)
2026-09-30T05:14:48.835183+00:00
Recorded review: Evan · September 30, 2026 · All 12 checklist items approved, including fee calculations and billing rules
Record ID: sample-e0260-20260930-01
Release status: Public reference published · Fixed Q3 snapshot

The review approval was supplied by Evan for Site V5 and its fixed Q3 snapshot. Reviewer credentials were not supplied; no professional qualification is inferred. The original source-check record is preserved below. This summary does not determine individual coverage or payment.

Recorded exact CMS versions and separated effective/update/check dates.
Added national and four DME MAC jurisdiction scopes.
Qualified selected-item F2F/WOPD rules and added observed E0260 status.
Preserved missing NCD effective date and the original pending-review source-check record; Evan subsequently approved the fixed snapshot.

Official sources

Source checks: September 29–30, 2026. This is not a policy effective date or a clinical review. Confirm the current source and applicable version before use.

CMS · July 2026 HCPCS code file

Official quarterly code file; this preview imports E0260 only. The code does not establish coverage or payment.

CMS · Hospital Beds and Accessories, L33820

Equipment-specific criteria; check the version applicable to the date of service.

CMS · Hospital beds provider guidance

Coverage and documentation summary, including electric-bed limitations.

CMS · DMEPOS fee schedules

Official fee-file entry point; E0260 Q3 2026 records are available in the fee preview, reviewed by Evan on September 30, 2026.

Revision history

September 30, 2026 · Added E0260 Q3 2026 schedule preview and CMS ZIP mappings. Evan approved the fixed-snapshot review on September 30, 2026.