How To Use HCPCS Code B4100

HCPCS code B4100 describes the enteral feeding supply kit for syringe feeding, per day. This code is used to identify the specific supplies and equipment needed for syringe feeding, including feeding/flushing syringe, administration set tubing, dressings, and tape. It is important for medical coders to understand the details and usage of this code to accurately bill for the services provided.

1. What is HCPCS B4100?

HCPCS code B4100 is used to identify the enteral feeding supply kit for syringe feeding, per day. This code represents the specific supplies and equipment required for syringe feeding, including the feeding/flushing syringe, administration set tubing, dressings, and tape. It is important to note that this code is specifically for syringe feeding and not for other methods of enteral feeding.

2. Official Description

The official description of HCPCS code B4100 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 “Food thickener oral.”

3. Procedure

1. Ensure that the patient requires enteral feeding via syringe.
2. Gather the necessary supplies for syringe feeding, including the feeding/flushing syringe, administration set tubing, dressings, and tape.
3. Prepare the enteral formula according to the patient’s needs and the healthcare provider’s instructions.
4. Connect the administration set tubing to the feeding/flushing syringe.
5. Administer the enteral formula to the patient using the syringe, following the prescribed feeding schedule.
6. Monitor the patient during the feeding process for any adverse reactions or complications.
7. After the feeding is complete, flush the administration set tubing with the appropriate solution.
8. Properly dispose of any used supplies and clean the equipment as necessary.

4. When to use HCPCS code B4100

HCPCS code B4100 should be used when the patient requires enteral feeding via syringe. This code is specifically for syringe feeding and should not be used for other methods of enteral feeding, such as tube feeding or oral intake. It is important to review the patient’s medical records and the healthcare provider’s orders to determine if syringe feeding is the appropriate method for enteral nutrition in each specific case.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code B4100, healthcare providers need to document the medical necessity of syringe feeding and the specific supplies used. This documentation should include the patient’s condition or diagnosis requiring enteral feeding, the healthcare provider’s orders for syringe feeding, and the duration of the feeding. Additionally, any complications or adverse reactions during the feeding process should be documented. Proper coding and documentation are essential for accurate billing and reimbursement.

6. Historical Information and Code Maintenance

HCPCS code B4100 was added to the Healthcare Common Procedure Coding System on January 01, 2003. 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 stay updated on any changes or revisions to the code, as well as any updates to coding guidelines or regulations related to enteral feeding supplies.

7. Medicare and Insurance Coverage

HCPCS code B4100 is classified as a non-covered service by Medicare, indicated by the coverage code M. This means that Medicare does not provide reimbursement for this specific code. It is important to check with other insurance providers to determine their coverage policies for enteral feeding supplies and whether they reimburse for HCPCS code B4100.

8. Examples

Here are five examples of when HCPCS code B4100 should be billed:

1. A patient with dysphagia requires enteral feeding via syringe due to difficulty swallowing.
2. An elderly patient with a feeding tube experiences a blockage and requires temporary syringe feeding until the issue is resolved.
3. A patient with a gastrointestinal disorder undergoes a surgical procedure and needs post-operative enteral feeding via syringe.
4. A patient with a neurological condition has impaired oral intake and requires enteral feeding via syringe for nutritional support.
5. A patient with a severe throat infection is unable to swallow and requires temporary syringe feeding until the infection resolves.