OAR 410-122-0420: Hospital Bed Accessories

(1) Table 122-0420, Hospital Bed Accessories Procedure codes — Trapeze Bars: (a) Indications and coverage: Trapeze bars are indicated when a client needs this device to sit up because of respiratory condition, to change body position for other medical reasons, or to get in or out of bed; (b) The Division may consider coverage for bariatric trapeze bars only coded as E1399 (durable medical equipment, miscellaneous) for a client residing in a nursing facility), subject to service limitations of Division rules, only when the following requirements are met: (A) The client meets the conditions of coverage as specified in this rule; and (B) The bariatric trapeze bar has been assigned code E1399 by the Medicare Pricing, Data Analysis and Coding (PDAC) contractor; (C) Supporting documentation has been submitted to the appropriate authorizing authority for prior authorization; (c) Documentation of medical appropriateness which has been reviewed and signed by the prescribing practitioner must be kept on file by the DME provider; (2) See Table 122-0420 for procedure codes. [ED. NOTE: Tables referenced are available from the agency.] [ED. NOTE: To view attachments referenced in rule text, click here to view rule.]