How To Use HCPCS Code B4105

HCPCS code B4105 describes the enteral feeding supply kit for syringe feeding, including various components such as feeding/flushing syringe, administration set tubing, dressings, and tape. This code is used to identify and bill for the specific supplies required for enteral nutrition through syringe feeding. In this article, we will explore the details of HCPCS code B4105, including its official description, procedure, usage guidelines, billing requirements, historical information, and coverage by Medicare and insurance providers.

1. What is HCPCS B4105?

HCPCS code B4105 is a specific code used to identify the enteral feeding supply kit for syringe feeding. It represents the supplies necessary for administering enteral nutrition through syringe feeding, including the feeding/flushing syringe, administration set tubing, dressings, and tape. This code is essential for accurately documenting and billing for the specific supplies used in enteral nutrition procedures.

2. Official Description

The official description of HCPCS code B4105 is “Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape.” This description clearly outlines the components included in the enteral feeding supply kit for syringe feeding and specifies that it is billed on a per day basis.

3. Procedure

1. Prepare the enteral feeding supply kit, ensuring that all necessary components are included.
2. Connect the administration set tubing to the feeding/flushing syringe.
3. Cleanse the feeding site with appropriate antiseptic solution and apply dressings as needed.
4. Insert the syringe into the feeding tube and slowly administer the enteral nutrition.
5. Monitor the patient during the feeding process and make any necessary adjustments.
6. Flush the feeding tube with the flushing syringe as instructed.
7. Secure the feeding tube and dressings with tape to ensure proper placement and prevent dislodgement.

4. When to use HCPCS code B4105

HCPCS code B4105 should be used when documenting and billing for the enteral feeding supply kit used in syringe feeding procedures. This code is applicable when providing enteral nutrition through syringe feeding and includes the necessary supplies such as the feeding/flushing syringe, administration set tubing, dressings, and tape. It is important to ensure that the specific components listed in the official description are included in the kit to accurately use this code.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code B4105, healthcare providers need to document the usage of the enteral feeding supply kit and the specific components provided to the patient. This documentation should include the date of service, the duration of syringe feeding, and any additional relevant information. It is crucial to maintain proper documentation to support the medical necessity of the enteral feeding supplies and ensure accurate billing.

6. Historical Information and Code Maintenance

HCPCS code B4105 was added to the Healthcare Common Procedure Coding System on January 01, 2019. As of its addition, there have been no maintenance actions taken for this code, indicated by the action code N, which means no maintenance for this code. This code has been in use since its addition without any significant changes or updates.

7. Medicare and Insurance Coverage

HCPCS code B4105 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 the pricing for this code is not applicable under multiple methodologies. Healthcare providers should follow the reimbursement guidelines provided by Medicare and other insurers to ensure proper billing and reimbursement for the enteral feeding supply kit.

8. Examples

Here are five examples of when HCPCS code B4105 should be billed:

1. A patient with a gastrointestinal disorder requiring enteral nutrition through syringe feeding.
2. A patient undergoing post-operative recovery who is unable to consume food orally and requires enteral nutrition via syringe feeding.
3. A patient with a neurological condition affecting swallowing ability, necessitating enteral nutrition through syringe feeding.
4. A patient with a chronic illness requiring long-term enteral nutrition support delivered through syringe feeding.
5. A patient with a temporary inability to eat or drink normally, requiring enteral nutrition via syringe feeding until they can resume oral intake.