`E0280` Bed cradle

Bed cradle, any type

Medicare coverage: Carrier judgment
Status: active (October 2026 file)

Medically Unlikely Edits (effective October 1, 2026)

Practitioner: max 0 units per day (clinical), rationale: CMS Policy
Outpatient hospital: max 0 units per day (clinical), rationale: CMS Policy
DME supplier: max 1 units per day (policy), rationale: Code Descriptor / CPT Instruction

Medicare pricing for E0280

DMEPOS fee schedule, July 2026 (DME26-C)

NU (purchased, new), inexpensive or routinely purchased (IN): non-rural $38.17 to $39.57 in the contiguous states; $46.93 to $65.71 in AK, HI, PR and VI; rural $39.89 to $44.88
RR (rental), inexpensive or routinely purchased (IN): non-rural $3.82 to $3.96 in the contiguous states; $5.06 to $7.52 in AK, HI, PR and VI; rural $4.29 to $4.67
UE (purchased, used), inexpensive or routinely purchased (IN): non-rural $28.63 to $29.68 in the contiguous states; $35.19 to $49.28 in AK, HI, PR and VI; rural $29.92 to $33.66

Payer policies and prior authorization for E0280

3 of 3 payer prior-auth lists that name E0280 require prior authorization or set conditions: UnitedHealthcare Community Plan.

Payer	Plan	State	Prior auth	Since	Source
UnitedHealthcare Community Plan	AHCCCS Complete Care (ACC)	AZ	prior auth required	Oct 1, 2026	Prior authorization requirements for AHCCCS Complete Care (ACC) Medicaid effective October 1, 2026
UnitedHealthcare Community Plan	ALTCS Developmentally Disabled	AZ	prior auth required	Oct 1, 2026	Prior authorization requirements for Arizona Developmental Disabilities Effective October 1, 2026
UnitedHealthcare Community Plan	New Mexico Turquoise Care	NM	prior auth required	Oct 1, 2026	Prior authorization requirements for UnitedHealthcare Community Plan of New Mexico Effective October 1, 2026

Payer coverage policies that name E0280

E0280 appears in 17 coverage policies from Aetna, Anthem, Capital Blue Cross, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT), UnitedHealthcare.

Payer	Policy	Role in policy	Reviewed	Document
Aetna	Hospital Beds and Accessories (0543)	covered if criteria are met	Sep 23, 2026	payer document
Aetna	Pressure Reducing Support Surfaces (0430)	covered if criteria are met	Jul 10, 2026	payer document
Anthem	Hospital Beds and Accessories (CG-DME-15)	covered if criteria are met	Feb 19, 2026	payer document
Capital Blue Cross	Hospital Beds and Accessories (MP 6.001) Procedure codes	covered if criteria are met	Mar 1, 2026	payer document
Health Care Service Corporation (BCBS IL, TX, OK, NM, MT)	Hospital Beds and Related Equipment (DME101.001) HCPCS Codes A4640, E0181, E0182, E0183, E0184, E0185, E0186, E0187, E0188, E0189,	listed, no stance	Jan 1, 2026	payer document
UnitedHealthcare	Beds and Mattresses (CS181.I)	listed, no stance	Aug 1, 2026	payer document
UnitedHealthcare	Beds and Mattresses (MP.028.15)	listed, no stance	Jul 1, 2026	payer document
UnitedHealthcare	Beds and Mattresses (for Idaho Only) (CS181ID.D)	listed, no stance	Aug 1, 2026	payer document
UnitedHealthcare	Beds and Mattresses (for Kansas Only) (CS181KS.02)	listed, no stance	Aug 1, 2026	payer document
UnitedHealthcare	Beds and Mattresses (for Kentucky Only) (CS181KY.10)	listed, no stance	Aug 1, 2026	payer document
UnitedHealthcare	Beds and Mattresses (for Nebraska Only) (CS181NE.I)	listed, no stance	Aug 1, 2026	payer document
UnitedHealthcare	Beds and Mattresses (for New Jersey Only) (CS181NJ.H)	listed, no stance	Sep 1, 2026	payer document
UnitedHealthcare	Beds and Mattresses (for New Mexico Only) (CS181NM.C)	listed, no stance	Aug 1, 2026	payer document
UnitedHealthcare	Beds and Mattresses (for North Carolina Only) (CSNC.MP.100.08)	listed, no stance	Aug 1, 2026	payer document
UnitedHealthcare	Beds and Mattresses (for Ohio Only) (CS181OH.F)	listed, no stance	Aug 1, 2026	payer document
UnitedHealthcare	Beds and Mattresses (for Pennsylvania Only) (CS181PA.I)	listed, no stance	Sep 1, 2026	payer document
UnitedHealthcare	Beds and Mattresses (for Tennessee Only) (CS181TN.H)	listed, no stance	Sep 1, 2026	payer document

Medicaid fee-for-service

Prior authorization required or conditional in CO, MA, MS, VA.

AZ: $40.60 (dme), effective Oct 1, 2026
CO: $3.20 (chp_plus, non-facility), effective Jul 1, 2026
IL: $33.32 (dme), effective Jan 1, 2026
IN: $31.74 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2026
KY: $29.38 (dme), effective Jan 1, 2026
MS: $3.19 (comprehensive), effective Jul 1, 2026
ND: $63.23 (dme), effective Aug 1, 2026
NE: $39.52 (dme), effective Jul 1, 2026
OK: $39.89 (dme), effective Jan 1, 2026
TX: $30.25 (dmepos_tos_9_e_j_l_and_r, Home Health Dme), effective Apr 1, 2013
VA: $38.33 (dme), effective Dec 1, 2026
VT: $0.00 (outpatient_hospital_opps), effective Feb 1, 2026
WA: $44.88 (medical_equipment_supplies), effective Jul 1, 2026
WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.

E0280 Bed cradle