Hospital Beds and Related Equipment
Durable Medical Equipment
© Blue Cross and Blue Shield of Montana
Current Effective Date:
November 26, 2013
Original Effective Date:
March 01, 1992
August 26, 2013
November 12, 2003; January 11, 2007; Ocotober 31, 2011; August 12, 2013
Hospital beds allow the patient's position to be changed at the head and foot of the bed. In addition, the distance of the bed from the floor can be adjusted. In contrast, an ordinary bed has a fixed height from the floor and has no head or leg elevation adjustment.
The following are descriptions of various types of hospital beds:
- fixed height beds have manual head and leg elevation adjustments but not bed height adjustment;
- variable height beds have manual height adjustments and with electric head and leg elevation adjustments;
- semi electric beds have manual height adjustment and electric head and leg adjustments;
- total electric beds have electric height adjustments and electric head and leg adjustments; these additional features allow for motorized adjustment of the height of the bed frame from the floor and are strictly for the convenience of the caregiver. The caregiver may have physical limitations in his/her ability to care for the patient;
- A heavy duty extra wide hospital bed is capable of supporting a patient weight between 350 and 600 pounds;
- An extra heavy duty bed is a bed able to support patient weight of more than 600 pounds;
- An air fluidized therapy bed is a device employing the circulation of filtered air through silicone coated ceramic beads creating the characteristics of fluid. Uses include, treatment and/or prevention of decubitus ulcers, management of severe or extensive burns, and to aid the circulation of blood;
- A powered flotation therapy bed is a semi-electric or totally-electric hospital bed with a fully integrated powered pressure reducing mattress, containing a large volume of constantly moving water, air or sand. Uses include treatment and/or prevention of decubitus ulcers, management of severe or extensive burns, and to aid in the circulation of blood.
Oscillatory beds were designed to assist with repositioning needs of the critically ill. Using a programmed unit, the bed shifts the position of the patient with minimal stimulation therefore reducing the oxygen demands needed for recuperation.
Beds used in the treatment of spinal cord injuries (Circulo-Electric™ RotoRest™ or Stryker Frame™), are found in facilities such as hospitals.
The Craftmatic® Adjustable bed is a semi-electric bed with head and leg adjustment but no height adjustment. It has a choice of wireless or corded hand wand control that adjusts the head and foot of the bed. An electric mattress cover applies heat to that portion of the body touching the mattress. Dual controls are provided for dual-queen and dual king-size beds. A variety of massage options are available on Craftmatic® Adjustable beds. This type of bed is not a hospital bed.
The Sleep Number® bed has firmness settings between zero and 100 that can be adjusted by a hand held device that electronically adjusts the volume of air. Each side can be independently adjusted. A variety of accessories are available such as pillows, comforters, sheets and mattress pads. This type of bed is not a hospital bed.
The Self Adjusting Technology (SAT™) bed contains an air suspension system with intake and out take valves that are claimed to automatically adjust to each individual regardless of body weight. The design of the bed makes it possible to adjust the volume of air without need for pumps, motors or electricity.
Refer to the ICD-9-CM manual.
E0181, E0182, E0184, E0185, E0186, E0187, E0193, E0194, E0196, E0260, E0261, E0265, E0266, E0270, E0271, E0272, E0273, E0274, E0277, E0280, E0294, E0295, E0296, E0297, E0300, E0301, E0302, E0303, E0304, E0305, E0310, E0315, E0316, E0328, E0329, E0373
- Strauss, M.J., Gong, J., et al. The cost of home air-fluidized therapy for pressure sores. Journal of Family Practice (1991 July) 33(1): 52-59.
- Nimit, K. Public Health Service Assessment Guidelines for Home Air-Fluidized Therapy. Technology Assessments (1989) 5:1-11 Medline (1992 October).
- Perez, E. and M.D. David. Updated Guidelines for Treatment and Prevention. Geriatrics (1993) 48:39-44.
- Ochs, R.F., Horn, S.D., et al. Comparison of air-fluidized therapy with other support surfaces used to treat pressure ulcers in nursing home residents. Ostomy or Wound Management (2005 February) 51 (2): 38-68.
- Yonezawa, Y., Miyamoto, Y., et al. A new intelligent bed care system for hospital and home patients. Biomedical Instrumentation and Technology (2005 July-August) 39(4): 313-9.
- Catz, A., Zifroni, A., et al. Economic assessment of pressure sore prevention using a computerized mattress system in patients with spinal cord injury. Disability and Rehabilitation (2005 November 15) 27(21):1315-9.
- DMERC Manual Pressure Reducing Support Surfaces Group 1 Chapter 32. (2005).
- http://www.medmco.com .
- DMERC Manual Pressure Reducing Support Surface Group 2 Chapter 33. (2005)
- http://www.medmco.com .
- DMERC Manual Pressure Reducing Support Surfaces Group 3 Chapter 33. (2005)
- http://www.medmco.com .
||Updated policy not medically necessary statement with "impervious covering", Added reference.|
||Policy formatting and language revised. Title changed from "Bed or Mattress, Pressure Reducing (Including Air-Fluidized Bed)" to "Hospital Beds and Related Equipment". Policy coverage criteria revised.|