# Billing Codes & Reimbursement (HCPCS) > Cubby Beds are often billed using the following commonly referenced codes E1399 Durable medical equipment miscellaneous E0328 Pediatric safety b Source: https://help.cubbybeds.com/en_us/billing-codes-for-cubby-beds-SkRI_gAqel Last updated: 2026-06-05T18:12:43.489Z This article is a starting point for medical suppliers (DME partners) working through how to code and bill a Cubby Bed. Coding and reimbursement vary by state and by payer, so use this as orientation, then confirm the specifics with your payer and your own contracts. * * * ## **Coding you’ll see referenced:** **HCPCS Code** **Description** E1399 Durable medical equipment, miscellaneous  E0328 Hospital bed, pediatric, manual, 360 degree side enclosures, top of headboard, footboard and side rails up to 24 inches above the spring, includes mattress E0329 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 E0316 Safety enclosure frame/canopy for use with hospital bed, any type ## ## **How to decide which code to use in your state** There's no single right answer here, because coding direction comes from your payer and your state. A few principles can help you land in the right place. 1. When there isn't a product-specific HCPCS code that accurately matches an item's specifications and medical application, a miscellaneous DME code is generally the option that gets considered. **For the Cubby Bed, a miscellaneous code is usually the most accurate fit**, and it's the one with which our DME partners tend to see the most consistent success. 2. It's worth understanding why the pediatric enclosed-bed codes (E0328 and E0329) usually don't apply. The Cubby Bed isn't verified by the PDAC (Pricing, Data Analysis, and Coding contractor) under a product-specific HCPCS, so from a federal coding-assignment standpoint, it wouldn't be billed under E0328 or E0329. Those descriptors also define a bed with either electric or manual head & foot articulation, which does not match Cubby Beds. 3. That said, some states and payers direct a specific code as their pathway to coverage. If a payer names a code in writing, or its coverage criteria call for one, follow that directive and review it alongside the plan's coverage criteria. Always look for payer-specific guidance first. ## **What payers need when you bill a miscellaneous code** A miscellaneous code doesn't map to a specific device, so payers can't match it to a product on their own. Your submission has to connect those dots for them. In practice, that means showing: * What item is being billed, validated with the make and model, order forms, and quotes * Explanation of use and components * Why there isn't a more specific code for the item * Confirmation of medical necessity for the item Keep in mind, there aren't many product-specific HCPCS codes for non-wheelchair DME, so this supporting documentation does a lot of the work in a miscellaneous-code submission. ## **Reimbursement** Reimbursement depends on the payer and, for miscellaneous codes, on your contract. Medicaid fee-for-service (FFS) has a publicly available reimbursement calculation you can reference.  Other payers, including MCOs, typically use an industry-recognized pricing methodology: **Methodology** **How it works** MSRP minus a discount % Manufacturer's Suggested Retail Price, reduced by a set percentage Usual + customary minus a discount % Your provider billed charges, reduced by a set percentage Cost plus a markup % Your product cost increased by a set percentage **These pricing methodologies aren't set by Cubby Beds.** They're determined by your individual contract with each payer when you go contracted, or in-network, with them. That contract includes a fee schedule or a pricing addendum, and the reimbursement for a miscellaneous code lives there. If you're running into reimbursement challenges, start with your contract to find the rate tied to that code, then reach out to the payer's provider contracting team if you'd like to negotiate it. As the manufacturer, Cubby Beds doesn't determine these rates, they sit between you and the payer. ## **A few reminders** * Look for payer-specific guidance on which HCPCS to use before you bill. * Some payers will tell you in writing which code to use. That written directive is your strongest starting point, so pair it with the plan's coverage criteria. * To request a quote, please email: [orders@cubbybeds.com](mailto:orders@cubbybeds.com). _Please note: quotes do not include specific billing codes._ ## ****Disclaimer:**** This article reflects the opinions and suggestions of Cubby Beds and is for informational purposes only. It isn't legal, coding, or billing advice. Please consult your own legal counsel or compliance officer for guidance on any legal or regulatory matters. Cubby Beds assumes no responsibility or liability for any action taken or not taken based on this content. 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