How To Use HCPCS Code B4034

HCPCS code B4034 describes the enteral feeding supply kit for syringe feeding, which is provided on a daily basis. This code includes various components such as feeding/flushing syringe, administration set tubing, dressings, and tape. It falls under the category of parenteral and enteral nutrition, and it is used for billing purposes in medical coding and billing.

1. What is HCPCS B4034?

HCPCS code B4034 is a specific code used to identify the enteral feeding supply kit for syringe feeding. It is important to note that this code is only applicable for syringe feeding and not for other methods of enteral feeding. The code is used to accurately represent the supply kit provided to patients who require enteral feeding through syringe administration.

2. Official Description

The official description of HCPCS code B4034 is “Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape.” The short description of this code is “Enter feed supkit syr by day.” These descriptions provide a clear understanding of the specific supplies and services included in this code.

3. Procedure

1. The healthcare provider prepares the enteral feeding supply kit for syringe feeding.
2. The kit includes a feeding/flushing syringe, administration set tubing, dressings, and tape.
3. The healthcare provider administers the enteral feeding to the patient using the syringe and the provided supplies.
4. The procedure may involve flushing the feeding tube before and after the feeding.
5. The enteral feeding supply kit is used on a daily basis, as per the code description.

4. When to use HCPCS code B4034

HCPCS code B4034 should be used when a healthcare provider supplies an enteral feeding kit specifically designed for syringe feeding. This code is not applicable for other methods of enteral feeding, such as gravity feeding or pump feeding. It is important to accurately document and code the use of this specific kit to ensure proper billing and reimbursement.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code B4034, healthcare providers need to document the provision of the enteral feeding supply kit for syringe feeding. This documentation should include details such as the date of service, the specific supplies provided, and the medical necessity for using syringe feeding. Proper documentation is crucial for accurate billing and reimbursement.

6. Historical Information and Code Maintenance

HCPCS code B4034 was added to the Healthcare Common Procedure Coding System on January 01, 1986. Since its addition, there have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code. It has an effective date of January 01, 2011, and it falls under the category of parenteral and enteral nutrition.

7. Medicare and Insurance Coverage

HCPCS code B4034 is covered by Medicare and other insurance providers. The pricing indicator code 39 indicates that it falls under the category of parenteral and enteral nutrition. The multiple pricing indicator code A signifies that it is not applicable as HCPCS priced under one methodology. Healthcare providers should follow the specific billing guidelines and requirements of Medicare and other insurance providers to ensure proper reimbursement.

8. Examples

Here are five examples of when HCPCS code B4034 should be billed:

1. A patient with a medical condition requiring enteral feeding through syringe administration receives the enteral feeding supply kit on a daily basis.
2. A healthcare provider supplies the enteral feeding supply kit for syringe feeding to a patient with dysphagia.
3. A patient with a gastrointestinal disorder requires enteral feeding through syringe administration and receives the necessary supplies.
4. An elderly patient with difficulty swallowing relies on enteral feeding through syringe administration and is provided with the enteral feeding supply kit.
5. A healthcare facility provides the enteral feeding supply kit for syringe feeding to a patient with a temporary inability to consume food orally.