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People who use a hospital bed at home often deal with medications, illness, and pain - all of which can get in the way of quality sleep. Choosing the right bed can facilitate restorative sleep that contributes to your overall good health.
This guide contrasts the differences between hospital beds and gives you honest feedback from customers. It also uncovers frequently asked questions, cautions you on important features you must consider before purchasing, and recommends the best products.
What is a hospital bed for home?
A hospital bed for home care has features that cater to the needs of people who are recovering from an injury or who have to spend a lot of time in bed. Their adjustability makes them more appropriate than a standard bed for providing comfortable support and enabling caregivers to deliver quality care.
What Are The Different Types of Hospital Beds?
There are 3 types of hospital beds: manual, semi-electric, and full-electric. Below, we give you a breakdown of each bed and our top-recommended product.
Manual Hospital Beds
Manual hospital beds are the least expensive models, with fewer features than semi-electric or full-electric options. A manual hospital bed requires a caregiver to make adjustments via a hand crank, making this type of bed most appropriate in situations where it won&#;t be necessary to make frequent adjustments.
Pros
- Least expensive type
- Good choice if frequent adjustments aren&#;t necessary
Cons
- Potential caregiver strain from making manual adjustments
- Not as many position choices as electric beds
Semi-Electric Hospital Beds
A semi-electric hospital bed is a good choice for someone who has good enough balance that it is not necessary to adjust the height of the bed to transfer on and off. This style of bed uses electric and manual adjustments, with the head and foot sections usually adjusted electrically while the height is adjusted with a manual crank.
Pros
- Easy to make heat and foot positioning adjustments
- Lower cost for the feature of head and foot adjustability than a full-electric home hospital bed
- User confidence and independence is supported with user-adjusatility
Cons
- Must rely on a caregiver to make height adjustments
- Using a hand crank puts a strain on caregivers
Full Electric Hospital Beds
The height, head, and feet adjustments are made with the push of a button on a full-electric hospital bed. If a patient is able to control the bed positioning, it decreases reliance on caregiver assistance and increases independence and confidence. If a caregiver isn&#;t close by, most full-electric beds have a feature that locks the bed in position so a patient can&#;t accidentally move it into a position that could be dangerous.
Pros
- No strain on caregivers to adjust the bed
- When allowed, user can adjust the bed without assistance
- Addresses multiple conditions and positioning needs (sleep, circulation, skin issues, aches and pains)
Cons:
What Are Specialty Beds?
Specialty hospital beds are specialized beds that are designed to meet very specific patient needs. Some specialty beds address fall risks, bariatric patient weight, and non-clinical designs.
Sleep to Stand Bed
Although not hospital beds, sleep-to-stand beds have some of the same positioning options as hospital beds. Sometimes, they are referred to as sit to stand beds or adjustable beds. They provide comfortable support for a lot of the things a person would use a home hospital bed for, like sleeping, reading, watching tv, or just relaxing. They look more like standard beds and can be ordered in larger sizes to accommodate two sleepers. The less-institutional feel is attractive for many users. There are a few basic models with manually adjustable frames, but they are not used in caregiving settings. By far, most adjustable beds are fully electric and some can take users from lying down to standing up for easy transfers. They are a good choice for people who seek some of the features of a hospital bed but want the look and feel and sizing options of a traditional bed.
Pros
- Adjustability can prevent falls during transfers
- Comfortable and supportive, with positioning customized for the user
- Choice of sizes
Cons
- Need to buy special mattress
- More expensive than a traditional bed without all the features of a hospital bed
Low Bed
Low beds are ideal for people who have a higher risk of falling, because they reduce the distance between the bed and floor, decreasing the risk of injury from a fall. These beds make it easier for users to get in and out of bed, which helps minimize the strain on a caregiver during transfers. Usually the height is adjusted electrically, and positioning adjustability includes elevating and reclining the head and feet sections, and allowing for ergonomic lying down and sitting.
Pros
- Reduces caregiver strain
- Minimizes the risk of an injury from a fall
- Electric height adjustability
- Positions can be adjusted in several models
Cons
- Most low beds have an institutional look and feel
Bariatric Hospital Bed
The weight capacity of standard hospital beds is between 350 and 450 pounds. Bariatric hospital beds, which are also called heavy-duty beds, can be found able to accommodate users weighing up to 1,000 pounds. Along with heavy-duty construction and larger sizes, with widths ranging as wide as 54 inches, bariatric hospital beds feature height adjustability and can be ordered with safety rails. A bariatric bed, especially for someone who can&#;t independently reposition in a smaller bed, will support a larger patient in comfort and dignity.
Pros
- Electric adjustability allows patient to reposition independently without putting a strain on a caregiver
- Created specifically for patients who would not be safe or comfortable in a standard sized bed
- Durable, heavy-duty construction
Cons
- Beds don&#;t always come with a mattress, so a special bariatric mattress will have to be ordered
- Bariatric beds are cumbersome to move
Deluxe Hospital Bed
Deluxe hospital beds are built for long-term, heavy-duty use, meeting the needs of acute-care patients and caregivers. Side rails, mitigated entrapment risk, and exit alarms focus on patient safety. User-friendly controls include a nurse panel, and patients can adjust the bed position without assistance. Benefits of a deluxe bed include ease treatment delivery provided by the maneuverability, electric height adjustability, and the list of accessories that are available with this type of bed.
Pros
- User-friendly patient controls
- Safety features reduce risk of unsafe exit and patient entrapment
- Constructed for heavy duty long-term use
- Highly adjustable to facilitate care and treatment
Cons
- High price point
- Look and feel of clinical medical equipment
Residential Design Bed
Although not technically hospital beds, residential design beds have hospital bed functionality in a bed you&#;d find at home. The ability to adjust this bed&#;s height and the option to install side rails make it easier for users to get out of bed than with a standard bed. The electric adjustability helps relieve pressure points and combat the development of bed sores, while the ergonomic positioning provides support and comfort. They can be ordered with waterproof mattress covers that contribute to a clinically sanitized environment at home. To check out more beds by Med-Mizer, check out our article Innovative Adjustable Hospital Beds by Med-Mizer
Pros
- Styled like furniture rather than medical equipment
- Functionality of a hospital bed
- Decreases fall risk, allows for more user independence
- Adjustable for individualized comfort
Cons
- Heavier than a regular bed
- Usually, does not accommodate standard mattress
Fully-Enclosed Safety Bed
Safety beds, although not hospital beds, do offer features that address special needs and medical conditions and support sleep in a secure space. Enclosed by walls, fabric, or rails, in sizes appropriate for children and adults. Safety beds protect from falls, prevent unassisted exits, provide easy caregiver access, and protect from entrapment or entanglement. They have features like padding to protect users who have seizures, access ports for medical equipment, and support for those with sensory processing disorders who benefit from a completely enclosed space. They come in fixed heights or with manual or powered height adjustability, and mattresses ranging from air to gel to articulating. There are portable models that are easy to take along while traveling.
Pros
- Provide caregiver peace of mind by preventing wandering and bed falls
- Access for supportive medical equipment
- Many models to choose from to fit individual needs
- Users with sensory processing disorders appreciate the calming enclosed space
Cons
- Can take up a lot of room, so measuring the available room space is important
- Not all models are conducive to smooth wheelchair transfers
Features to Consider Before Purchasing
Temporary vs Permanent
If a user is going to be cared for in bed for an extended amount of time, or who spends more than 15 hours a day in bed, a full-electric home hospital bed will provide long-term comfort and durability while minimizing physical strain in caregivers. They are also the most expensive models. Manual and semi-electric beds require more caregiver effort and don&#;t provide as much independence for patients, but they cost less and can be more appropriate for short-term use.
Mobility of Patient
Patient mobility has a significant impact on the kind of home hospital bed should be chosen. A highly adjustable bed, either electric or semi-electric, is best for users who are unsteady on their feet and are at risk of falling while transferring in and out of bed, who can&#;t reposition themselves without assistance, and can&#;t get in and out of bed safely without the height being adjusted. If a patient can get in and out of bed without assistance and is steady while standing, a highly adjustable bed might not be needed. A more economical choice would be a manually adjusted bed.
Strength of Caregiver
Caregiver needs should be considered, ensuring the proper level of care can be provided. For a patient who requires a lot of position changes, a manual bed wouldn&#;t be the best choice. An electric bed will take the most strain off a caregiver. A caregiver&#;s strength and stamina should be taken into consideration when deciding which home hospital bed is the best choice.
Size of the Patient
A specifically designed bariatric bed, which is wider than a standard bed, is more comfortable for heavier users. A pediatric patient will be more safe and comfortable in a child-sized bed. Beds can also be ordered to accommodate especially tall patients. Whatever the best bed size is for the patient, it can be found.
Positioning
For patients who spend the majority of their time in bed, especially if mobility challenges prevent them from regularly self-repositioning, a hospital bed&#;s positioning features can greatly impact comfort and quality of sleep. The number of sections, position options, and height adjustability all contribute to the user experience. Here are the most popular positioning options:
- Trendelenburg: the patient is supine with head declined below the feet. This position is used in a clinical setting to reverse hypotension, treat low cardiac output, insert central IV catheters, increase postural drainage, reduce leg swelling, and help move heavy patients up in bed. It also allows better access to insert venous catheters.
- Reverse Trendelenburg: the patient is supine while the head is raised above the heart and the legs. It is used in surgeries of the head and the neck to decrease blood loss and can also be used to help decrease blood pressure.
- Comfort Chair: A hospital bed that can move a patient from a flat position to a seated position at a controlled rate with a minimal amount of patient movement helps provide relief to the lungs and supports circulation. Requiring a 4-function bed, the chair position uses sections that support the back, bottom, arms, and legs of the patient.
- Fowler's Position: a standard position where the patient is seated in a semi-upright position at an angle between 30 and 90 degrees, with legs either bent or straight. It helps expand the chest as the top of the bed is raised, and is often used to promote respiration and oxygenation
Assembly Service
Optional assembly services take the guesswork and effort out of setting up a hospital bed at home. It is probably already a stressful time of change when bringing a hospital bed into the house, and knowing the bed has been assembled correctly by professional installers can alleviate some of that stress and contribute to a calmer and more comfortable environment.
Rehabmart has a large selection of hospital beds and other products that offer assembly services.
Frequently Asked Questions
Q: Why do I need a hospital bed at home?
A: A hospital bed at home can be a valuable tool to promote rest and healing. Whether recovering from an injury or in-patient stay, or adjusting to mobility limitations, you can enjoy improved health, increased independence, and a positive impact on quality of life with the addition of a hospital bed at home. The knee and head adjustability offer improved incontinence support, easy sanitization helps create a healthy environment, and repositioning options decrease the risk of pressure ulcers and provide comfortable postural support. Safety features like side rails or mattresses with bolsters can also minimize the risk of falling out of bed, as does height adjustability.
Q: What is the most comfortable hospital bed?
A: This answer is different for everyone, but there are options to fit any needs. Beds that have multiple positions to correctly and comfortably support the body along with mattresses that range in firmness and available therapeutic features all impact the comfort of the user.
Q: What Is A Full-Electric Hospital Bed?
A: A full-electric hospital bed electrically adjusts the height, head, and feet positions with the press of a button. Benefits include fostering patient independence and safety features to ensure maximum user comfort and safety while minimizing the physical strain on a caregiver.
Q: Can I get a hospital bed for home use?
A: Yes. Rehabmart has a wide selection of hospital and home care beds.
Q: What is a semi-electric hospital bed?
A: A semi-electric bed uses a combination of manual and electric adjustments. The head and foot sections are usually electrically adjustable, while a hand crank is used to manually adjust the height of the bed. For users who benefit from the ability to adjust the head and foot sections for positioning comfort but don&#;t need the height adjusted every time they get in and out of bed, this style is a great choice.
Q: What is a bariatric hospital bed?
A: A bariatric hospital bed meets the size and support requirements of larger-framed users who weigh more than what standard hospital beds can accommodate. Some models are able to accommodate patients weighing up to 1,000 pounds. Although not all bariatric beds can accommodate that weight, they pick up where standard beds that serve patients weighing between 350-450 pounds leave off. Their heavy duty construction makes them durable, while their height adjustability, safety rails, and extra width serve the specific needs of bariatric patients.
Q: Does Medicare cover hospital beds?
A: Medicare will cover home hospital beds if they are prescribed by a doctor as a medically necessary piece of durable medical equipment.
Q: How much does a fully electric hospital bed cost?
A: A fully electric home hospital bed can range from $500 to $, and the mattress isn&#;t always included, so consumers need to make sure they are also getting all the appropriate accessories when purchasing a bed.
Q: What's the difference between an electric hospital bed and an adjustable bed?
A: A main focus of a hospital bed is to deliver care and treatment effectively while maintaining patient safety and comfort. Adjustable beds are designed with an emphasis on maximum user comfort and support for sleeping, reading, eating, watching tv, or relaxing in bed. Adjustable beds are more like standard beds, while home hospital beds are treatment-focused and can have a more institutional design and feel.
Final Thoughts
With sleep being an essential function, your sleep space should cater to what will help you achieve the greatest amount of rest. Your sleeping brain recovers from the stresses of the day. Performance and decision-making are definitely impacted by quality and quantity of sleep. Proper sleep contributes to feeling more alert and positive, and helps ward off disease and combat medical challenges. After a good night's sleep, you perform better and are better at making decisions. Sleep can help you feel more alert, optimistic, and get along with people better. Sleep also helps your body ward off disease.
Choose the options in a home hospital bed that best meets your needs for comfort and care, to ensure the best possible, and most healing and restorative sleep you can get. We&#;ve gone over the types of hospital beds, and since not all beds come with their own dedicated mattresses, it&#;s important to consider what you need in a mattress for your hospital bed as well. Our selection of the 5 Best Hospital Bed Mattresses will help you make an informed decision when it&#;s time to set up a hospital bed at home.
For more information on how to choose the best home hospital bed for your needs, visit our extensive library at Caregiver University.
Author:
Hulet Smith, OT
Co-founder/CEO of Rehabmart, Pediatric Occupational Therapist, husband, and father. Passionate about connecting special needs kids with superb nutrition, sensory integration, and complementary health strategies. Excited about Rehabmart's mission to become the premier online educational platform which empowers caregivers by spotlighting innovative devices and interventions to achieve optimal patient response and recovery.
Meet all of our experts here!
Clinical UM Guideline
Subject: Hospital Beds and Accessories
Guideline #: CG-DME-15
Publish Date: 06/28/
Status: Reviewed
Last Review Date: 05/09/
Description This document addresses the use of hospital beds, a specialty bed used primarily in the treatment of individuals with an illness or injury. Hospital bed accessories are durable medical equipment items used in conjunction with a hospital bed.
Note: Please see the following related document for additional information:
Clinical Indications Hospital Beds
Medically Necessary:
A fixed height hospital bed is considered medically necessary if one or more of the following criteria are met:
- The individual has a medical condition that requires positioning of the body in ways not feasible with an ordinary bed to alleviate pain, prevent contractures, promote good body alignment or avoid respiratory infections.
- The individual requires the head of the bed to be elevated more than 30 degrees most of the time due to congestive heart failure, chronic pulmonary disease, or problems with aspiration. Pillows or wedges must have been considered and ruled out. Elevation of the head/upper body less than 30 degrees does not usually require the use of a hospital bed.
- The individual requires special attachments, such as traction equipment, that can only be attached to a hospital bed.
A variable height hospital bed is considered medically necessary if the individual meets one or more of the criteria for a fixed height hospital bed and requires a bed height different than a fixed height hospital bed to permit transfers to chair, wheelchair, or standing position. This includes, but is not limited to:
- Severe arthritis;
- Fractured hips or other lower extremity injuries;
- Spinal cord injuries;
- Severe cardiac conditions;
- Stroke.
A semi-electric hospital bed is considered medically necessary if the individual meets one or more of the criteria for a fixed height bed and requires frequent changes in body position or has an immediate need for a change in body position.
A heavy-duty, extra-wide hospital bed is considered medically necessary if the individual meets one or more of the criteria for a fixed height hospital bed and the individual&#;s weight is more than 350 pounds, but does not exceed 600 pounds.
An extra heavy-duty hospital bed is considered medically necessary if the individual meets one or more of the criteria for a hospital bed and the individual&#;s weight exceeds 600 pounds.
An enclosed crib or enclosed bed is considered medically necessary for individuals with seizures, disorientation, vertigo, and neurological disorders, where the individual needs to be restrained to bed. Clinical documentation must be provided that states less invasive strategies (that is, bed rails, bed rail protectors, or environmental modifications) have been tried and have not been successful.
A request for a hospital grade, pediatric crib will be reviewed for medical necessity on an individual basis.
Not Medically Necessary:
If the above criteria are not met, the hospital bed will be considered not medically necessary.
A total electric hospital bed is considered not medically necessary. The height adjustment feature is considered to be a convenience feature.
Ordinary (Non-Hospital) beds are considered not medically necessary. An ordinary bed does not meet the definition of durable medical equipment as it is not primarily medical in nature and is not primarily used in the treatment of a disease or injury.
Power or manual lounge beds are considered not medically necessary since they are not primarily medical in nature and are considered to be a comfort or convenience item.
Bed Accessories
Medically Necessary:
Trapeze equipment is considered medically necessary if the individual is confined to bed and needs this device to sit up because of a respiratory condition, to change body position for other medical reasons, or to get in or out of bed. Heavy duty trapeze equipment is considered medically necessary if the individual meets the criteria for regular trapeze equipment and weighs more than 250 pounds.
A bed cradle is considered medically necessary when it is necessary to prevent contact with the bed coverings. This includes, but is not limited to individuals with burns, decubitus or diabetic ulcers, or gouty arthritis.
Side rails or safety enclosures (such as, frame/canopy) are considered medically necessary when they are required by the individual&#;s condition and they are an integral part of, or an accessory to, a hospital bed.
If an individual&#;s condition requires a replacement innerspring mattress or foam rubber mattress it will be considered medically necessary for an individual-owned hospital bed.
Not Medically Necessary:
The following bed accessories are considered not medically necessary since they are not primarily medical in nature, are not mainly used in the treatment of a disease or injury and are normally of use to people who do not have a disease or injury:
- Bedboards;
- Overbed table;
- Bed baths, bed spectacles, bed trays/reading tables, call switches, foot boards, bed lapboards;
- Side rails when requested with a non-hospital or ordinary bed.
Side rails or frame/canopy for use with a hospital bed are considered not medically necessary when the above criteria are not met.
Coding The following codes for treatments and procedures applicable to this document are included below for informational purposes. Inclusion or exclusion of a procedure, diagnosis or device code(s) does not constitute or imply member coverage or provider reimbursement policy. Please refer to the member's contract benefits in effect at the time of service to determine coverage or non-coverage of these services as it applies to an individual member.
HCPCS
E-E
Hospital bed, fixed height, with any type side rails, with or without mattress
E-E
Hospital bed, variable height, hi-lo, with any type side rails, with or without mattress
E-E
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with or without mattress
E-E
Hospital bed, fixed height, without side rails, with or without mattress
E-E
Hospital bed, variable height, hi-lo, without side rails, with or without mattress
E-E
Hospital bed, semi-electric (head and foot adjustment), without side rails, with or without mattress
E
Pediatric crib, hospital grade, fully enclosed, with or without top enclosure
E-E
Hospital bed, heavy duty/extra heavy duty (includes codes E, E, E, E)
E
Hospital bed, pediatric, manual, 360 degree side enclosures, top of head board, foot board and side rails up to 24 inches above the spring, includes mattress
For the following code when specified as semi-electric:
E
Hospital bed, pediatric, electric or semi-electric, 360 degree side enclosures, top of head board, foot board and side rails up to 24 inches above spring, includes mattress [specified as semi-electric]
ICD-10 Diagnosis
All diagnoses
HCPCS
E-E
Hospital bed, total electric (head, foot, and height adjustments), with any type side rails, with or without mattress
E-E
Hospital bed, total electric, (head, foot and height adjustments), without side rails, with or without mattress
For the following code when specified as total electric:
E
Hospital bed, pediatric, electric or semi-electric, 360 degree side enclosures, top of head board, foot board and side rails up to 24 inches above spring, includes mattress [specified as total electric]
ICD-10 Diagnosis
All diagnoses
HCPCS
If you want to learn more, please visit our website manual hospital bed supplier.
E-E
Mattress
E
Bed cradle, any type
E
Bed side rails, half-length
E
Bed side rails, full-length
E
Safety enclosure frame/canopy for use with hospital bed, any type
E
Trapeze bars, also known as Patient Helper, attached to bed, with grab bar
E
Trapeze bar, heavy duty, for patient weight capacity greater than 250 pounds, attached to bed, with grab bar
ICD-10 Diagnosis
All diagnoses
HCPCS
E
Bed board
E
Over-bed table
E
Bed accessory: board, table or support device, any type
ICD-10 Diagnosis
All diagnoses
Discussion/General Information Descriptions
A fixed height hospital bed is one with manual head and leg elevation adjustments but no height adjustment.
A variable height hospital bed is one with manual height adjustment and with manual head and leg elevation adjustments.
A semi-electric bed is one with manual height adjustment and with electric head and leg elevation adjustments.
A total electric bed is one with electric height adjustment and with electric head and leg elevation adjustments.
An ordinary bed is one that is typically sold as furniture. It consists of a frame, box springs and mattress. It is a fixed height and has no head or leg elevation adjustments. It is normally for use in the absence of illness or injury.
Power or manual lounge beds, like other ordinary beds, are typically sold as furniture and are not considered durable medical equipment as they are used in the absence of illness or injury. The following are examples of lounge beds:
- Craftmatic® Adjustable Bed;
- Adjust-A-Sleep Adjustable Bed;
- Electropedic® Adjustable Bed (Electropedic Beds, Burbank, CA);
- Simmons® Beautyrest® Adjustable Bed (Simmons Bedding Company, Norcross, GA);
- Adjustable, vibrating beds.
The U.S. Food and Drug Administration (FDA) in determined that the Vail Enclosure Bed poses a significant public health risk because individuals can become entrapped and suffocate, resulting in severe neurological damage or death. Vail Products, Inc of Toledo, Ohio, has permanently ceased manufacture, sale and distribution of all Vail enclosed bed systems.
The Centers for Medicare and Medicaid Services (CMS) criteria were utilized in the development of this document.
References Peer Reviewed Publications:
Government Agency, Medical Society, and Other Authoritative Publications:
- U.S. Food and Drug Administration (FDA), Center for Devices and Radiological Health (CDRH). Medical Devices. Hospital beds. Updated August 23, . Available at: http://www.fda.gov/MedicalDevices/ProductsandMedicalProcedures/GeneralHospitalDevicesandSupplies/HospitalBeds/default.htm. Accessed on February 5, .
Index History Status
Date
Action
Reviewed
05/09/
Medical Policy & Technology Assessment Committee (MPTAC) review. Revised References section.
Reviewed
05/11/
MPTAC review. Updated References section.
Reviewed
05/12/
MPTAC review. Updated References section.
Revised
05/13/
MPTAC review. Clarified MN bed accessories statement for side rails or &#;safety enclosures (such as, frame/canopy)&#; when they are required by the individual&#;s condition and they are an integral part of, or an accessory to, a hospital bed. Revised NMN statement to address &#;side rails or&#; frame/canopy for use with a hospital bed when the above criteria are not met. Updated References section. Reformatted Coding section.
Reviewed
05/14/
MPTAC review. Updated References section.
Reviewed
06/06/
MPTAC review. Updated Description, Discussion and References sections.
Reviewed
07/26/
MPTAC review. The document header wording updated from &#;Current Effective Date&#; to &#;Publish Date&#;. Updated Discussion and References sections.
Reviewed
08/03/
MPTAC review. Updated References section.
Revised
08/04/
MPTAC review. Updated formatted in clinical indications section. Defined an abbreviation in MN criteria. Updated References section. Removed ICD-9 codes from Coding section.
Reviewed
08/06/
MPTAC review. Updated References.
Reviewed
08/14/
MPTAC review. Description and Websites updated.
Reviewed
08/08/
MPTAC review. Websites and References updated.
01/01/
Updated Coding section with 01/01/ HCPCS descriptor change.
Reviewed
08/09/
MPTAC review. Websites and References updated.
Reviewed
08/18/
MPTAC review. Websites and References updated.
Reviewed
08/19/
MPTAC review. Websites and References updated.
Revised
08/27/
MPTAC review.
Removed not medically necessary statement addressing the Vail enclosure bed. Removed place of service. References updated.
Reviewed
08/28/
MPTAC review. References updated.
01/01/
Updated coding section with 01/01/ HCPCS changes.
Revised
08/23/
MPTAC review. Addition of medically necessary statement for enclosure beds. References and coding updated.
Revised
12/07/
MPTAC review. Enclosure beds moved from medically necessary to not medically necessary. Added medically necessary language addressing heavy duty trapeze equipment. References and coding updated.
New
12/01/
MPTAC initial guideline development.
Pre-Merger Organizations
Last Review Date
Document Number
Title
Anthem, Inc.
No Document
Anthem CO/NV
DME.211
Hospital Beds and Accessories
Anthem MW
04/08/
DME.004
Hospital Beds & Other Bed Accessories
Anthem ME
Benefit Detail
Hospital Bed
Anthem CT
10/01/
DME Coverage Criteria Guideline, Section D
Hospital Beds and Accessories
WellPoint Health Networks, Inc.
No Document
Federal and State law, as well as contract language including definitions and specific coverage provisions/exclusions, and Medical Policy take precedence over Clinical UM Guidelines and must be considered first in determining eligibility for coverage. The member's contract benefits in effect on the date that services are rendered must be used. Clinical UM Guidelines, which address medical efficacy, should be considered before utilizing medical opinion in adjudication. Medical technology is constantly evolving, and we reserve the right to review and update Clinical UM Guidelines periodically. Clinical UM guidelines are used when the plan performs utilization review for the subject. Due to variances in utilization patterns, each plan may choose whether or not to adopt a particular Clinical UM Guideline. To determine if review is required for this Clinical UM Guideline, please contact the customer service number on the back of the member's card.
No part of this publication may be reproduced, stored in a retrieval system or transmitted, in any form or by any means, electronic, mechanical, photocopying, or otherwise, without permission from the health plan.
© CPT Only &#; American Medical Association
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