How To Use HCPCS Code B4081

HCPCS code B4081 describes the enteral feeding supply kit for syringe feeding, per day. This code is used to identify the specific supplies and equipment needed for enteral feeding through a syringe. It includes items such as feeding/flushing syringe, administration set tubing, dressings, and tape.

1. What is HCPCS B4081?

HCPCS code B4081 is a specific code used in medical coding to identify the enteral feeding supply kit for syringe feeding, per day. It is important to use this code accurately to ensure proper billing and reimbursement for the supplies and equipment used in enteral feeding procedures.

2. Official Description

The official description of HCPCS code B4081 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 for this code is “Enteral ng tubing w/ stylet.”

3. Procedure

1. Prepare the enteral feeding supply kit, including the feeding/flushing syringe, administration set tubing, dressings, and tape.
2. Ensure the enteral ng tubing with stylet is properly inserted into the patient’s nose or mouth and guided into the stomach or intestines.
3. Connect the administration set tubing to the enteral ng tubing and secure it in place with dressings and tape.
4. Administer the enteral feeding solution through the syringe, following the prescribed instructions and guidelines.
5. Monitor the patient during the enteral feeding procedure to ensure proper intake and any potential complications.

4. When to use HCPCS code B4081

HCPCS code B4081 should be used when billing for the enteral feeding supply kit for syringe feeding, per day. This code is applicable when providing enteral nutrition through a syringe and includes the necessary supplies and equipment for the procedure. It is important to review the specific coverage instructions and guidelines to ensure accurate usage of this code.

5. Billing Guidelines and Documentation Requirements

When using HCPCS code B4081, healthcare providers need to document the details of the enteral feeding procedure, including the specific supplies and equipment used. This documentation should include the date of service, the duration of the enteral feeding, and any relevant patient information. Proper documentation is essential for accurate billing and reimbursement.

6. Historical Information and Code Maintenance

HCPCS code B4081 was added to the Healthcare Common Procedure Coding System on January 01, 1986. It has an effective date of January 01, 2002. There have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code. This code falls under the pricing indicator code 39, which represents parenteral and enteral nutrition.

7. Medicare and Insurance Coverage

HCPCS code B4081 is eligible for coverage by Medicare and other insurance providers. The pricing indicator code 39 indicates that this code is used for parenteral and enteral nutrition, which is typically covered by insurance. However, it is important to review the specific coverage instructions and guidelines provided by Medicare or other insurance carriers to ensure proper reimbursement.

8. Examples

Here are some examples of when HCPCS code B4081 should be billed:

1. A patient with a feeding tube requires enteral feeding through a syringe. The enteral feeding supply kit, including the syringe, administration set tubing, dressings, and tape, is provided for one day.
2. A healthcare facility provides enteral feeding services to a patient who is unable to consume food orally. The enteral feeding supply kit, including the necessary supplies and equipment, is used for multiple days.
3. A home healthcare provider administers enteral feeding through a syringe to a patient with a chronic medical condition. The enteral feeding supply kit is provided for a specific duration as prescribed by the healthcare provider.
4. A patient is discharged from the hospital and requires enteral feeding at home. The enteral feeding supply kit, including the syringe, administration set tubing, dressings, and tape, is provided for the duration of the patient’s home care.
5. A long-term care facility provides enteral feeding services to multiple patients. The enteral feeding supply kits are used on a daily basis for each patient receiving enteral nutrition through a syringe.