How To Use HCPCS Code B4150

HCPCS code B4150 describes the enteral feeding supply kit for syringe feeding, per day. This code includes various components such as feeding/flushing syringe, administration set tubing, dressings, and tape. It falls under the category of enteral/parenteral nutrients/supplies and is primarily used for parenteral and enteral nutrition. In this article, we will explore the details of HCPCS code B4150, including its official description, procedure, usage guidelines, billing requirements, historical information, and coverage by Medicare and insurance providers.

1. What is HCPCS B4150?

HCPCS code B4150 is used to identify the enteral feeding supply kit for syringe feeding, per day. It is specifically designed for patients who require enteral nutrition support. This code covers the necessary supplies and equipment needed for syringe feeding, including the feeding/flushing syringe, administration set tubing, dressings, and tape.

2. Official Description

The official description of HCPCS code B4150 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 complet w/intact nutrient.”

3. Procedure

1. Ensure that the patient requires enteral nutrition support and has a valid prescription for syringe feeding.
2. Gather the necessary supplies for the enteral feeding supply kit, including a feeding/flushing syringe, administration set tubing, dressings, and tape.
3. Prepare the enteral formula according to the patient’s specific nutritional needs.
4. Connect the administration set tubing to the feeding/flushing syringe and prime the tubing to remove any air bubbles.
5. Administer the enteral formula through the syringe, following the prescribed feeding schedule.
6. Monitor the patient’s response to the enteral feeding and make any necessary adjustments to the feeding plan.
7. Document the administration of enteral nutrition and any relevant patient information in the medical record.

4. When to use HCPCS code B4150

HCPCS code B4150 should be used when providing enteral nutrition support through syringe feeding. It is important to ensure that the patient meets the eligibility criteria for enteral nutrition and has a valid prescription for syringe feeding. This code is not applicable for other methods of enteral nutrition delivery, such as tube feeding or oral supplements.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code B4150, healthcare providers should ensure that the following documentation requirements are met:

• A valid prescription for enteral nutrition support
• Documentation of the patient’s medical necessity for syringe feeding
• Detailed records of the enteral feeding supplies provided, including the type and quantity
• Documentation of the administration of enteral nutrition, including the date, time, and duration of each feeding

Providers should follow the appropriate billing guidelines and submit the claim with the necessary supporting documentation to ensure accurate reimbursement for the enteral feeding supply kit.

6. Historical Information and Code Maintenance

HCPCS code B4150 was added to the Healthcare Common Procedure Coding System on January 01, 1986. It has an effective date of January 01, 2005. 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 falls under the Medicare Carriers Manual Reference Section Number 2130.

7. Medicare and Insurance Coverage

HCPCS code B4150 is covered by Medicare and other insurance providers. It is priced under the parenteral and enteral nutrition pricing indicator code 39. The multiple pricing indicator code A indicates that the code is not applicable as HCPCS priced under one methodology. Providers should refer to the Medicare Carriers Manual or consult with the respective insurance providers for specific coverage and reimbursement guidelines.

8. Examples

Here are five examples of when HCPCS code B4150 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 with a feeding tube who needs intermittent bolus feedings using a syringe.
3. A patient with a complex medical condition who requires enteral nutrition support during their hospital stay.
4. A patient with a chronic illness who receives home healthcare services and requires enteral nutrition support through syringe feeding.
5. A patient undergoing a surgical procedure who needs post-operative enteral nutrition support using a syringe.