Medicare Hospital Bed Qualifications

A physician s prescription and such additional documentation as the medicare administrative contractor mac medical staff may consider necessary including medical records and physicians reports must establish the medical necessity for a hospital bed due to one of the following reasons.

Medicare hospital bed qualifications. And the beneficiary s weight is more then 350 pounds but does not exceed 600 pounds. You must also be covered under medicare part b and have been assessed by your doctor. Medicare will cover a hospital bed when you can show a medical necessity for the bed. In order to qualify for medicare part b coverage the hospital bed must be able to endure repeated usage and used strictly for medical purposes.

A semi electric hospital bed is covered if the patient requires frequent changes in body position and meets one of the following criteria. Elevation of the head upper body less than 30 degrees does not usually require the use of a hospital bed or. If your supplier participates in the medicare program medicare may pay 80 of the allowable charges whether you rent your hospital bed or purchase it outright. Hospital beds are considered durable medical equipment dme which is covered under part b.

Claims for total electric hospital beds e0265 e0266 e0296 and e0297. Patient requires head of bed elevation more than 30 most of the time due to hf opd or problems with aspiration. Depending on your needs and your dme supplier you may choose to either rent or buy your hospital bed. A physician s prescription and such additional documentation as the medicare administrative contractor mac medical staff may consider necessary including medical records and physicians reports must establish the medical necessity for a hospital bed due to one of the following reasons.

General requirements for coverage of hospital beds. The beneficiary s weight exceeds 600 pounds. Patient requires frequent changes in body position and or has an immediate need for change in body position. The patient has a medical condition which requires positioning of the body in ways not feasible with an ordinary bed.

Medicare part b medical insurance covers hospital beds as durable medical equipment dme that your doctor prescribes for use in your home. Claims for extra heavy duty hospital beds e0302 and e0304 andthe beneficiary meets coverage criteria for a fixed height hospital bed see above. The beneficiary meets coverage criteria for a fixed height hospital bed see above. Patient requires traction equipment which can only be attached to a hospital bed and a.

Elevation of the head upper body less than 30 degrees. The doctor must document your need in your medical records and write you an order prescription for the equipment.