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June 10, 2024

Hospital Beds Coded E0290, E0301, & E0304 Require Face-to-Face Encounter and Written Order Prior To Delivery (WOPD) Effective August 12, 2024

On May 13, 2024, CMS announced updates to the Required Face-to-Face Encounter and Required Written Order Prior to Delivery (WOPD) ListExternal Website.

Medicare selected three hospital bed codes that will require a face-to-face encounter and WOPD starting August 12, 2024. The three HCPCS codes are:

  • E0290 – Hospital bed, fixed height, without side rails, with mattress
  • E0301 – Hospital bed, heavy duty, extra wide, with weight capacity greater than 350 pounds, but less than or equal to 600 pounds, with any type side rails, without mattress
  • E0304 – Hospital bed, heavy duty, extra wide, with weight capacity greater than 600 pounds, with any type side rails, with mattress

DMEPOS suppliers who provide these hospital beds need to be aware of the following changes that will start on August 12, 2024:

  • The supplier must get a written order from the treating practitioner before delivery. The order must be a valid Standard Written Order (SWO).
  • The treating practitioner must document and communicate to the DMEPOS supplier that they had a face-to-face encounter with the patient within the six months before the date on the written order.

Learn more about these requirements in MLN Matters Article SE20007External PDF.

Use the CGS WOPD Code Lookup to check for HCPCS codes that are on the Required Face-to-Face Encounter and Written Order Prior to Delivery ListExternal PDF.

Links to the Hospital Beds and Accessories Local Coverage Determination (LCD) and related Policy Articles:

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