Hospital Beds And Accessories - Policy Article

Hospital beds are covered under the DME benefit only when they meet the related LCD reasonable-and-necessary criteria and all Medicare statutory/regulatory requirements. Specified HCPCS codes require a face-to-face encounter and a Written Order Prior to Delivery obtained before delivery, several items (bed board, over-bed table, trapeze on ordinary beds) are explicitly noncovered, and specific modifier, bundling, and combined-code billing rules apply.

"Hospital beds are covered under the Durable Medical Equipment (DME) benefit when the item meets the DME benefit category, is reasonable and necessary per the related Local Coverage Determination (L..."

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