How To Use HCPCS Code B4082

HCPCS code B4082 describes an enteral feeding supply kit for syringe feeding, which includes various components such as feeding/flushing syringe, administration set tubing, dressings, and tape. This code is used to identify the specific supplies and equipment required for enteral feeding through a syringe. In this article, we will delve into the details of HCPCS code B4082, including its official description, procedure, when to use it, billing guidelines, historical information, Medicare and insurance coverage, and provide examples of when this code should be billed.

1. What is HCPCS B4082?

HCPCS code B4082 is used to identify an enteral feeding supply kit for syringe feeding. It is specifically used for enteral feeding through a syringe and includes components such as feeding/flushing syringe, administration set tubing, dressings, and tape. This code is important for accurately documenting and billing for the supplies and equipment used in enteral feeding procedures.

2. Official Description

The official description of HCPCS code B4082 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/o stylet.”

3. Procedure

1. Prepare the enteral feeding supply kit, ensuring that it includes a feeding/flushing syringe, administration set tubing, dressings, and tape.
2. Verify the patient’s enteral feeding requirements and ensure that the syringe feeding method is appropriate.
3. Cleanse the feeding site and prepare the patient for the enteral feeding procedure.
4. Assemble the enteral feeding supplies, connecting the administration set tubing to the feeding/flushing syringe.
5. Administer the enteral feeding solution through the syringe, following the prescribed guidelines and instructions.
6. Monitor the patient during the enteral feeding procedure and make any necessary adjustments or interventions.
7. Document the enteral feeding procedure, including the date, time, amount of solution administered, and any observations or complications.

4. When to use HCPCS code B4082

HCPCS code B4082 should be used when providing enteral feeding through a syringe. It is important to ensure that the specific supplies and equipment included in the enteral feeding supply kit, as described in the official description, are used. This code is applicable for both inpatient and outpatient settings when enteral feeding through a syringe is performed.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code B4082, healthcare providers need to ensure that the enteral feeding supply kit, including the feeding/flushing syringe, administration set tubing, dressings, and tape, is documented and provided to the patient. The documentation should include the date(s) of service, the quantity of supplies provided per day, and any specific instructions or guidelines for the enteral feeding procedure. It is important to follow the billing guidelines and requirements of the specific payer or insurance company to ensure accurate reimbursement.

6. Historical Information and Code Maintenance

HCPCS code B4082 was added to the Healthcare Common Procedure Coding System on January 01, 1986. It has an effective date of January 01, 2002. As indicated by the action code N, no maintenance actions have been taken for this code. This means that there have been no updates or revisions to the code since its addition.

7. Medicare and Insurance Coverage

HCPCS code B4082 is covered by Medicare and other insurance providers. The pricing indicator code 39 indicates that this code is related to parenteral and enteral nutrition. The multiple pricing indicator code A signifies that this code is not applicable as HCPCS priced under one methodology. Healthcare providers should refer to the Medicare Carriers Manual Reference Section Number 2130 for specific guidelines and instructions on billing and reimbursement for HCPCS code B4082.

8. Examples

Here are five examples of when HCPCS code B4082 should be billed:

1. A patient with a medical condition requiring enteral feeding through a syringe is admitted to a hospital. The enteral feeding supply kit, including the feeding/flushing syringe, administration set tubing, dressings, and tape, is provided to the patient daily during their hospital stay.
2. A home healthcare provider visits a patient who requires enteral feeding through a syringe. The enteral feeding supply kit is provided to the patient, and the healthcare provider documents the quantity of supplies provided per day.
3. A skilled nursing facility provides enteral feeding through a syringe to a resident. The enteral feeding supply kit is included in the resident’s care plan, and the facility bills for the supplies provided per day.
4. An outpatient clinic performs enteral feeding through a syringe for a patient with a chronic medical condition. The enteral feeding supply kit is provided to the patient during the clinic visit, and the clinic bills for the supplies used.
5. A durable medical equipment supplier delivers an enteral feeding supply kit to a patient’s home. The patient requires enteral feeding through a syringe, and the supplier bills for the supplies provided per day.