How To Use HCPCS Code B4087

HCPCS code B4087 describes a specific enteral feeding supply kit that is used for syringe feeding. This code is used to identify the supplies and equipment necessary for administering enteral nutrition through a gastro/jejuno tube. It includes items such as feeding/flushing syringes, administration set tubing, dressings, and tape. The code was added to the Healthcare Common Procedure Coding System on January 01, 2008, and has a coverage code of C, which means it is subject to carrier judgment.

1. What is HCPCS B4087?

HCPCS code B4087 is used to identify a specific enteral feeding supply kit that is designed for syringe feeding. This kit includes all the necessary items for administering enteral nutrition through a gastro/jejuno tube. It is important to note that this code is specific to syringe feeding and should not be used for other methods of enteral nutrition administration.

2. Official Description

The official description of HCPCS code B4087 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 “Gastro/jejuno tube, std.”

3. Procedure

1. Prepare the enteral feeding supply kit by ensuring that all the necessary items are present, including the feeding/flushing syringe, administration set tubing, dressings, and tape.
2. Verify the patient’s gastro/jejuno tube placement and ensure that it is suitable for syringe feeding.
3. Cleanse the gastro/jejuno tube insertion site using appropriate sterile techniques.
4. Connect the administration set tubing to the gastro/jejuno tube, ensuring a secure connection.
5. Fill the feeding/flushing syringe with the prescribed enteral nutrition formula.
6. Gently insert the syringe into the administration set tubing and slowly administer the enteral nutrition into the gastro/jejuno tube.
7. Monitor the patient during the feeding process for any signs of discomfort or complications.
8. After the feeding is complete, flush the gastro/jejuno tube with the appropriate amount of water or saline solution.
9. Secure the gastro/jejuno tube with dressings and tape to prevent dislodgement.

4. When to use HCPCS code B4087

HCPCS code B4087 should be used when providing enteral nutrition through a gastro/jejuno tube using a syringe feeding method. It is important to ensure that the patient meets the eligibility criteria for enteral nutrition and that the use of a gastro/jejuno tube for feeding is medically necessary. This code should not be used for other methods of enteral nutrition administration or for patients who do not require syringe feeding.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code B4087, healthcare providers should ensure that the following documentation is included:

• Documentation supporting the medical necessity of enteral nutrition and the use of a gastro/jejuno tube for feeding.
• Documentation of the specific items included in the enteral feeding supply kit, such as the feeding/flushing syringe, administration set tubing, dressings, and tape.
• Documentation of the quantity and frequency of the enteral feeding supply kit provided.

6. Historical Information and Code Maintenance

HCPCS code B4087 was added to the Healthcare Common Procedure Coding System on January 01, 2008. 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 is important to note that this code has a pricing indicator code of 39, which indicates that it falls under the category of parenteral and enteral nutrition.

7. Medicare and Insurance Coverage

HCPCS code B4087 is payable 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 for this code is A, which means it is not applicable as HCPCS priced under one methodology. Healthcare providers should refer to the specific guidelines and policies of Medicare and other insurance providers for information on coverage and reimbursement rates.

8. Examples

Here are five examples of when HCPCS code B4087 should be billed:

1. A patient with a gastro/jejuno tube requires enteral nutrition through syringe feeding. The healthcare provider supplies the necessary enteral feeding kit, including the feeding/flushing syringe, administration set tubing, dressings, and tape.
2. A patient with a gastro/jejuno tube is discharged from the hospital and requires enteral nutrition through syringe feeding at home. The healthcare provider provides the patient with an enteral feeding supply kit that includes all the necessary items for syringe feeding.
3. A patient with a gastro/jejuno tube undergoes a surgical procedure and requires enteral nutrition through syringe feeding during the post-operative period. The healthcare provider supplies the patient with an enteral feeding kit for use during the recovery period.
4. A patient with a gastro/jejuno tube is transitioning from parenteral nutrition to enteral nutrition. The healthcare provider provides the patient with an enteral feeding supply kit for syringe feeding as part of the transition process.
5. A patient with a gastro/jejuno tube requires enteral nutrition through syringe feeding while receiving treatment for a medical condition. The healthcare provider supplies the patient with an enteral feeding kit to ensure proper nutrition during the treatment period.