How To Use HCPCS Code B4083

HCPCS code B4083 describes the enteral feeding supply kit for syringe feeding, per day. This code is used to identify the specific supplies and equipment required for enteral feeding through a syringe. It includes items such as feeding/flushing syringe, administration set tubing, dressings, and tape. The code was added to the Healthcare Common Procedure Coding System on January 01, 1986, and its action effective date is January 01, 2002.

1. What is HCPCS B4083?

HCPCS code B4083 is a specific code used 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 B4083 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 stomach tube levine.”

3. Procedure

1. Prepare the enteral feeding supply kit, ensuring that it includes all the necessary items such as feeding/flushing syringe, administration set tubing, dressings, and tape.
2. Verify the patient’s enteral feeding prescription and ensure that the use of a syringe for feeding is appropriate.
3. Cleanse the hands and wear appropriate personal protective equipment.
4. Prepare the enteral feeding formula according to the manufacturer’s instructions.
5. Connect the administration set tubing to the enteral feeding formula container.
6. Prime the administration set tubing to remove any air bubbles.
7. Connect the feeding/flushing syringe to the administration set tubing.
8. Administer the enteral feeding formula slowly and steadily through the syringe, following the prescribed rate.
9. Monitor the patient during the enteral feeding procedure for any signs of discomfort or complications.
10. After completing the enteral feeding, flush the feeding tube with the prescribed amount of water or saline solution.
11. Secure the feeding tube with dressings and tape to prevent dislodgement.

4. When to use HCPCS code B4083

HCPCS code B4083 should be used when providing enteral feeding through a syringe. It is important to ensure that the use of a syringe for feeding is appropriate and in accordance with the patient’s enteral feeding prescription. This code is specifically for enteral feeding supply kits that include items such as feeding/flushing syringe, administration set tubing, dressings, and tape.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code B4083, healthcare providers need to document the following:

• Date of service
• Number of days the enteral feeding supply kit was provided
• Details of the items included in the kit, such as feeding/flushing syringe, administration set tubing, dressings, and tape
• Prescription or order for enteral feeding
• Any additional relevant documentation, such as medical necessity or supporting documentation for special coverage instructions

6. Historical Information and Code Maintenance

HCPCS code B4083 was added to the Healthcare Common Procedure Coding System on January 01, 1986. Its action effective date is 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.

7. Medicare and Insurance Coverage

HCPCS code B4083 is covered by Medicare and other insurance providers. The pricing indicator code for this code is 39, which indicates that it falls under the category of parenteral and enteral nutrition. The multiple pricing indicator code is A, which means it is not applicable as HCPCS priced under one methodology. Healthcare providers should follow the specific billing guidelines and requirements of Medicare or other insurance providers when submitting claims for reimbursement.

8. Examples

Here are some examples of when HCPCS code B4083 should be billed:

1. A patient with a feeding tube requires enteral feeding through a syringe for a period of 5 days. The enteral feeding supply kit, including the feeding/flushing syringe, administration set tubing, dressings, and tape, is provided each day. HCPCS code B4083 should be billed for each day of service.
2. A patient with a feeding tube requires enteral feeding through a syringe for a period of 10 days. The enteral feeding supply kit, including the feeding/flushing syringe, administration set tubing, dressings, and tape, is provided each day. HCPCS code B4083 should be billed for each day of service.
3. A patient with a feeding tube requires enteral feeding through a syringe for a period of 3 days. The enteral feeding supply kit, including the feeding/flushing syringe, administration set tubing, dressings, and tape, is provided each day. HCPCS code B4083 should be billed for each day of service.
4. A patient with a feeding tube requires enteral feeding through a syringe for a period of 7 days. The enteral feeding supply kit, including the feeding/flushing syringe, administration set tubing, dressings, and tape, is provided each day. HCPCS code B4083 should be billed for each day of service.
5. A patient with a feeding tube requires enteral feeding through a syringe for a period of 2 days. The enteral feeding supply kit, including the feeding/flushing syringe, administration set tubing, dressings, and tape, is provided each day. HCPCS code B4083 should be billed for each day of service.