How To Use HCPCS Code B4102

HCPCS code B4102 describes the enteral feeding supply kit for syringe feeding, per day. This code is used to identify the specific supplies and equipment needed for administering enteral nutrition through syringe feeding. In this article, we will explore the details of HCPCS code B4102, 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 B4102?

HCPCS code B4102 is used to identify the enteral feeding supply kit for syringe feeding, per day. This code encompasses various components necessary for enteral nutrition administration, including 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 nutrition delivery.

2. Official Description

The official description of HCPCS code B4102 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 “Ef adult fluids and electro.”

3. Procedure

1. Ensure that the patient’s enteral nutrition needs have been assessed and a prescription for syringe feeding has been provided by a qualified healthcare professional.
2. Gather the necessary supplies for syringe feeding, including a feeding/flushing syringe, administration set tubing, dressings, and tape.
3. Prepare the enteral nutrition formula according to the manufacturer’s instructions.
4. Connect the administration set tubing to the feeding/flushing syringe.
5. Prime the tubing to remove any air bubbles.
6. Administer the enteral nutrition formula slowly and steadily through the syringe, following the prescribed feeding schedule.
7. Monitor the patient during the feeding process for any adverse reactions or complications.
8. After the feeding is complete, flush the tubing with water or as directed by the healthcare professional.
9. Secure the dressings and tubing with tape to ensure proper placement and prevent dislodgement.

4. When to use HCPCS code B4102

HCPCS code B4102 should be used when providing enteral nutrition through syringe feeding. This code is applicable for patients who require enteral nutrition support and have been prescribed syringe feeding by a healthcare professional. It is important to follow the specific guidelines and eligibility criteria for using this code, as determined by the payer or insurance provider.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code B4102, healthcare providers need to ensure proper documentation of the enteral nutrition administration and the supplies used. This includes documenting the patient’s medical necessity for enteral nutrition, the prescription for syringe feeding, the specific supplies provided, and the duration of the service. It is also important to follow the billing guidelines set forth by the payer or insurance provider to ensure accurate and timely reimbursement.

6. Historical Information and Code Maintenance

HCPCS code B4102 was added to the Healthcare Common Procedure Coding System on January 01, 2005. 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. This code has been in use for enteral feeding supply kits for syringe feeding since its inception.

7. Medicare and Insurance Coverage

HCPCS code B4102 is covered by Medicare and other insurance providers. The pricing indicator code 39 indicates that this code falls under the category of parenteral and enteral nutrition. The multiple pricing indicator code A signifies that this code is not applicable as HCPCS priced under one methodology. It is important to verify the specific coverage and reimbursement policies of each payer or insurance provider to ensure proper billing and reimbursement.

8. Examples

Here are five examples of when HCPCS code B4102 should be billed:

1. A patient with a medical condition that prevents them from consuming food orally and requires enteral nutrition support through syringe feeding.
2. A patient undergoing a surgical procedure that temporarily impairs their ability to eat and requires enteral nutrition through syringe feeding during the recovery period.
3. A patient with a chronic illness that affects their ability to absorb nutrients and requires long-term enteral nutrition support through syringe feeding.
4. A patient with a neurological disorder that affects their swallowing ability and requires enteral nutrition through syringe feeding as a primary source of nutrition.
5. A patient with a gastrointestinal disorder that necessitates enteral nutrition support through syringe feeding to maintain adequate nutrition and hydration.