| Field Name |
Field Value |
| Healthcare Common Procedure Coding System Code |
E0328 |
| HCPCS Sequence Number |
0010 |
| HCPCS Record Identification Code |
3 - First line of procedure record also contains detail information in positions 92-275 |
| HCPCS Long Description |
Hospital bed, pediatric, manual, 360 degree side enclosures, top of headboard, footboard and side rails up to 24 inches above the spring, includes mattress |
| HCPCS Short Description |
Ped hospital bed, manual |
| HCPCS Pricing Indicator Code 1 |
36 - Capped rental DME (price subject to floors and ceilings) |
| HCPCS Multiple Pricing Indicator Code |
A - Not applicable as HCPCS priced under one methodology |
| HCPCS Coverage Code |
C - Carrier judgment |
| HCPCS Berenson-Eggers Type Of Service Code |
D1B - Hospital beds |
| HCPCS Type Of Service Code 1 |
R - Rental of DME |
| HCPCS Anesthesia Base Unit Quantity |
0 |
| HCPCS Code Added Date |
1/1/2008 |
| HCPCS Action Effective Date |
1/1/2008 |
| HCPCS Action Code |
N - No maintenance for this code |