How To Use HCPCS Code B4103

HCPCS code B4103 describes the enteral feeding supply kit for syringe feeding, per day. This code is used to identify the specific supplies and equipment needed 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, 2005, and has been in use since then.

1. What is HCPCS B4103?

HCPCS code B4103 is used to identify the enteral feeding supply kit for syringe feeding, per day. It is specifically used for patients who require enteral feeding through a syringe. This code helps healthcare providers and medical coders accurately document and bill for the supplies and equipment used in enteral feeding procedures.

2. Official Description

The official description of HCPCS code B4103 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 ped fluid and electrolyte.”

3. Procedure

1. Prepare the enteral feeding supply kit, ensuring that it includes a feeding/flushing syringe, administration set tubing, dressings, and tape.
2. Verify the patient’s enteral feeding prescription and ensure that syringe feeding is the appropriate method for the patient.
3. Cleanse the hands and put on appropriate personal protective equipment.
4. Assemble the enteral feeding supplies, connecting the administration set tubing to the feeding/flushing syringe.
5. Follow the healthcare provider’s instructions for preparing the enteral feeding solution.
6. Administer the enteral feeding solution to the patient using the syringe, following proper technique and safety guidelines.
7. Monitor the patient during the enteral feeding procedure for any adverse reactions or complications.
8. Document the enteral feeding procedure, including the date, time, amount of solution administered, and any observations or interventions.

4. When to use HCPCS code B4103

HCPCS code B4103 should be used when providing enteral feeding through a syringe. It is important to ensure that the patient meets the criteria for enteral feeding and that syringe feeding is the appropriate method for the patient. This code should be used for each day that the enteral feeding supply kit is provided to the patient.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code B4103, healthcare providers need to document the medical necessity for enteral feeding and the specific supplies and equipment used. The documentation should include the patient’s diagnosis, the prescription for enteral feeding, and any supporting documentation. The billing should be done according to the guidelines and requirements of the specific insurance provider or Medicare.

6. Historical Information and Code Maintenance

HCPCS code B4103 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. The code has remained unchanged since its inclusion in the coding system.

7. Medicare and Insurance Coverage

HCPCS code B4103 is covered by Medicare and other insurance providers. The pricing indicator code 46 indicates that the code is carrier priced, meaning that the pricing is determined by the individual carrier based on factors such as the specific supplies and equipment provided. The multiple pricing indicator code A indicates that the code is not applicable as HCPCS priced under one methodology.

8. Examples

Here are five examples of when HCPCS code B4103 should be billed:

1. A patient with a diagnosis of dysphagia requires enteral feeding through a syringe. The enteral feeding supply kit, including the feeding/flushing syringe, administration set tubing, dressings, and tape, is provided to the patient on a daily basis.
2. An elderly patient with a history of stroke is unable to eat or drink orally and requires enteral feeding through a syringe. The enteral feeding supply kit is provided to the patient for daily use.
3. A pediatric patient with a congenital gastrointestinal disorder requires enteral feeding through a syringe. The enteral feeding supply kit is provided to the patient on a daily basis to meet their nutritional needs.
4. A patient undergoing chemotherapy experiences difficulty swallowing and requires enteral feeding through a syringe. The enteral feeding supply kit is provided to the patient for daily use during the course of their treatment.
5. A patient with a severe gastrointestinal infection is unable to tolerate oral intake and requires enteral feeding through a syringe. The enteral feeding supply kit, including the necessary supplies and equipment, is provided to the patient on a daily basis.