How To Use HCPCS Code E0328

HCPCS code E0328 describes a pediatric hospital bed with manual controls and 360-degree side enclosures. This bed is specifically designed for pediatric patients and includes top headboard, footboard, and side rails that can be adjusted up to 24 inches above the spring. The code also includes the mattress for the bed.

1. What is HCPCS E0328?

HCPCS code E0328 is used to identify a specific type of hospital bed designed for pediatric patients. It is a manual bed with 360-degree side enclosures, allowing for increased safety and security for the child. The bed can be adjusted to accommodate the needs of the patient, with the top of the headboard, footboard, and side rails able to be raised up to 24 inches above the spring. The code also includes the mattress for the bed.

2. Official Description

The official description of HCPCS code E0328 is “Hospital bed, pediatric, manual, 360 degree side enclosures, top of headboard, footboard and side rails up to 24 inches above the spring, includes mattress.” The short description is “Parenteral supp not othrws c.”

3. Procedure

1. Ensure that the pediatric hospital bed is properly assembled and in good working condition.
2. Position the bed in a suitable location within the healthcare facility.
3. Assist the pediatric patient onto the bed, ensuring their comfort and safety.
4. Adjust the bed to the desired height and position, taking into consideration the patient’s specific needs and any medical requirements.
5. Secure the 360-degree side enclosures, ensuring that they are properly locked in place.
6. Ensure that the top of the headboard, footboard, and side rails are adjusted to the appropriate height, not exceeding 24 inches above the spring.
7. Place the included mattress onto the bed, ensuring that it is properly aligned and secured.

4. When to use HCPCS code E0328

HCPCS code E0328 should be used when a pediatric patient requires a hospital bed with specific features, such as manual controls, 360-degree side enclosures, and adjustable headboard, footboard, and side rails. This code is applicable for situations where the patient’s safety and security are of utmost importance, such as in pediatric wards or specialized pediatric healthcare facilities.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code E0328, healthcare providers should ensure that the following documentation is included:

• Medical records supporting the need for a pediatric hospital bed
• Documentation of the patient’s age and weight, as this code specifically applies to pediatric patients
• Proof of the bed’s manual controls, 360-degree side enclosures, and adjustable features
• Itemized invoice or receipt for the bed and mattress

6. Historical Information and Code Maintenance

HCPCS code E0328 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. There have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code.

7. Medicare and Insurance Coverage

HCPCS code E0328 is covered by Medicare and other insurance carriers. The pricing indicator code for this code is 57, which indicates that it is priced by other carriers. The multiple pricing indicator code is A, which means it is not applicable as HCPCS priced under one methodology. Medicare Carriers Manual Reference Section Number for this code is 2130.

8. Examples

Here are five examples of when HCPCS code E0328 should be billed:

1. A 5-year-old child with a chronic illness requiring frequent hospitalizations needs a pediatric hospital bed with 360-degree side enclosures for added safety.
2. A 3-year-old child with mobility limitations requires a hospital bed with adjustable headboard, footboard, and side rails to accommodate their specific needs.
3. A 7-year-old child with a history of falling out of bed during sleep needs a bed with side enclosures that can be raised to prevent accidents.
4. A 10-year-old child with a spinal cord injury needs a hospital bed with manual controls to adjust the bed’s position for comfort and pressure relief.
5. A 2-year-old child with a severe allergy to certain materials requires a specialized pediatric hospital bed with a hypoallergenic mattress.