How To Use HCPCS Code B4088

HCPCS code B4088 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 gastro/jejuno tube. 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, 2008, and its action effective date is January 01, 2016. It falls under the HCPCS coverage code C, which indicates that carrier judgment is required for coverage determination. The pricing indicator code for this code is 39, which represents parenteral and enteral nutrition. The code is priced under one methodology, indicated by the multiple pricing indicator code A. The type of service code for HCPCS B4088 is E, which stands for enteral/parenteral nutrients/supplies.

1. What is HCPCS B4088?

HCPCS code B4088 is used to identify the enteral feeding supply kit for syringe feeding, per day. It specifically refers to the supplies and equipment required for enteral feeding through a gastro/jejuno tube. This code is essential for accurate billing and reimbursement purposes.

2. Official Description

The official description of HCPCS code B4088 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, low-pro.”

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 eligibility and medical necessity for enteral feeding through a gastro/jejuno tube.
3. Administer the enteral feeding as per the prescribed schedule and instructions.
4. Monitor the patient’s response and adjust the feeding regimen if necessary.
5. Document the details of the enteral feeding procedure, including the date, time, duration, and any complications or adverse reactions.

4. When to use HCPCS code B4088

HCPCS code B4088 should be used when providing enteral feeding through a gastro/jejuno tube using the specific supplies and equipment mentioned in the official description. It is important to ensure that the patient meets the eligibility criteria for enteral feeding and that the procedure is medically necessary.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code B4088, healthcare providers need to document the following information:

• Date and duration of the enteral feeding
• Details of the supplies and equipment used
• Prescription or order for enteral feeding
• Documentation of medical necessity
• Any complications or adverse reactions

Providers should also ensure that the documentation supports the medical necessity of enteral feeding and justifies the use of the specific supplies and equipment included in the enteral feeding supply kit.

6. Historical Information and Code Maintenance

HCPCS code B4088 was added to the Healthcare Common Procedure Coding System on January 01, 2008. It has an action effective date of January 01, 2016. As of now, 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

Medicare and other insurance providers may cover the enteral feeding supply kit described by HCPCS code B4088. 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 priced under one methodology. However, coverage and reimbursement may vary depending on the specific insurance plan and the patient’s eligibility criteria.

8. Examples

Here are some examples of when HCPCS code B4088 should be billed:

1. A patient with a gastro/jejuno tube requires enteral feeding supplies and equipment for syringe feeding on a daily basis.
2. A healthcare provider administers enteral feeding through a gastro/jejuno tube using the specified supplies and equipment for a patient with a documented medical necessity.
3. A patient undergoes enteral feeding through a gastro/jejuno tube, and the enteral feeding supply kit, including the feeding/flushing syringe, administration set tubing, dressings, and tape, is provided.
4. A patient’s enteral feeding regimen requires the use of the enteral feeding supply kit described by HCPCS code B4088, and the supplies are provided as per the prescribed schedule.
5. A healthcare provider documents the use of the enteral feeding supply kit, including the specific supplies and equipment, during the enteral feeding procedure for accurate billing and reimbursement.