Hospital BedsBariatric Hospital BedsHospital BedrailsMattressesTrapeze Bars When choosing a hospital bed you can be assured that All Star Medical has the choices that will fit you or a loved ones needs. We offer standard hospital beds, high low beds, fully electric hospital beds and baratric beds. We can ship these items to anywhere in the continental United States. Call us at 615-567-6116 if you have any questions. Delta Ultra Light Full Electric Bed with Full Rails - 15033bv-fr Delta Ultra Light Full Electric Low Bed - 15235 Delta Ultra Light Full Electric Low Bed with Full Rails and Therapeutic Support Mattress - 15235bv-pkg-t Full Electric Bariatric Hospital Bed with T Rails - 15300bv-1hr Gravity 7 Long Term Care Pressure Redistribution Mattress - 15876 Gravity 8 Long Term Care Pressure Redistribution Mattress with Elevated Perimeter - 15887 No Gap Half Length Side Bed Rails with Brown Vein Finish - 15201bv Hospital Beds and Pressure Reducing Support Surfaces - Billing Instruction
Joint DME MAC Article Recently there have been questions about the billing of hospital beds at the same time as a mattress-type pressure reducing support surface (PRSS). The DME MACs remind suppliers that billing a hospital bed with mattress in conjunction with a mattress-type support surface (i.e., not a support surface mattress overlay) is considered to be a claim for duplicate items (same/similar). Suppliers must not bill HCPCS codes for two types of mattresses concurrently. Refer to the list below for the relevant HCPCS codes for mattress-type PRSS and hospital beds with included mattresses. There are several possible billing scenarios: Beneficiary-owned hospital bed with mattress: Providing a mattress-type PRSS to replace an existing mattress is allowed if there is a change in the beneficiary's medical condition that justifies coverage of the PRSS. Since the beneficiary owns the regular mattress, it is their decision regarding the disposition of the regular mattress.
The supplier may bill for the appropriate HCPCS code for the PRSS provided. Hospital bed with mattress currently in a capped rental: Providing a mattress-type PRSS to replace an existing mattress is allowed if there is a change in the beneficiary's medical condition that justifies coverage of the PRSS. In this scenario, the regular mattress must be returned to the supplier and the supplier must stop billing the HCPCS code for the combination bed with mattress. Only then may the supplier change the HCPCS code being billed to the corresponding HCPCS code for the hospital bed frame without a mattress. The hospital bed frame without mattress rental payments will resume in the capped rental cycle in the month following discontinuation of the hospital bed with mattress. A new capped rental does not begin with the change in hospital bed HCPCS code. New, initial rental of both a hospital bed and PRSS: Combination hospital bed and mattress codes and a PRSS must not be billed at initial issue.
Suppliers must bill the appropriate HCPCS code for the hospital bed frame without mattress plus the HCPCS code for the mattress-type PRSS. The following list of HCPCS codes and descriptors detail the Group 1 and Group 2 mattress-type PRSS and the hospital beds that include mattresses: Group 1 Support Surface Mattress Codes Group 2 Support Surface Mattress Codes POWERED AIR FLOTATION BED (LOW AIR LOSS THERAPY) POWERED PRESSURE-REDUCING AIR MATTRESS NONPOWERED ADVANCED PRESSURE REDUCING MATTRESS Fixed Height Beds with Mattresses Codes HOSPITAL BED, FIXED HEIGHT, WITH ANY TYPE SIDE RAILS, WITH MATTRESS HOSPITAL BED, FIXED HEIGHT, WITHOUT SIDE RAILS, WITH MATTRESS HOSPITAL BED, PEDIATRIC, MANUAL, 360 DEGREE SIDE ENCLOSURES, TOP OF HEADBOARD, FOOTBOARD AND SIDE RAILS UP TO 24 INCHES ABOVE THE SPRING, INCLUDES MATTRESS Variable Height Beds with Mattresses Codes HOSPITAL BED, VARIABLE HEIGHT, HI-LO, WITH ANY TYPE SIDE RAILS, WITH MATTRESS
HOSPITAL BED, VARIABLE HEIGHT, HI-LO, WITHOUT SIDE RAILS, WITH MATTRESS Semi-Electric Beds with Mattresses Codes HOSPITAL BED, SEMI-ELECTRIC (HEAD AND FOOT ADJUSTMENT), WITH ANY TYPE SIDE RAILS, WITH MATTRESS HOSPITAL BED, SEMI-ELECTRIC (HEAD AND FOOT ADJUSTMENT), WITHOUT SIDE RAILS, WITH MATTRESS HOSPITAL BED, PEDIATRIC, ELECTRIC OR SEMI-ELECTRIC, 360 DEGREE SIDE ENCLOSURES, TOP OF HEADBOARD, FOOTBOARD AND SIDE RAILS UP TO 24 INCHES ABOVE THE SPRING, INCLUDES MATTRESS Total Electric Beds with Mattresses Codes HOSPITAL BED, TOTAL ELECTRIC (HEAD, FOOT AND HEIGHT ADJUSTMENTS), WITH ANY TYPE SIDE RAILS, WITH MATTRESS HOSPITAL BED, TOTAL ELECTRIC (HEAD, FOOT AND HEIGHT ADJUSTMENTS). WITHOUT SIDE RAILS, WITH MATTRESS Refer to the Hospital Bed and relevant Pressure Reducing Support Surface Local Coverage Determination and related Policy Article for additional information about coverage, coding and documentation requirements. Two Vantage Way, Nashville, TN 37228