How To Use HCPCS Code B4153

HCPCS code B4153 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 used for billing purposes in the healthcare industry.

1. What is HCPCS B4153?

HCPCS code B4153 is specifically used to identify the enteral feeding supply kit for syringe feeding, per day. It is important to note that this code is not applicable for other types of enteral feeding methods or supplies. It is used to accurately document and bill for the specific components included in the enteral feeding supply kit.

2. Official Description

The official description of HCPCS code B4153 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 hydrolyzed/amino acids.”

3. Procedure

1. Ensure that the patient requires enteral feeding via syringe.
2. Gather the necessary components for the enteral feeding supply kit, including a feeding/flushing syringe, administration set tubing, dressings, and tape.
3. Prepare the enteral feeding solution according to the patient’s specific needs and medical instructions.
4. Connect the administration set tubing to the feeding/flushing syringe and ensure proper securement.
5. Administer the enteral feeding solution to the patient using the syringe feeding method.
6. Monitor the patient during the feeding process and make any necessary adjustments or interventions as required.
7. Document the procedure and the specific components used in the enteral feeding supply kit.

4. When to use HCPCS code B4153

HCPCS code B4153 should be used when providing enteral feeding via syringe and when utilizing the specific components included in the enteral feeding supply kit. It is important to ensure that the patient meets the eligibility criteria for enteral feeding and that the syringe feeding method is appropriate for their medical condition.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code B4153, healthcare providers need to document the specific components used in the enteral feeding supply kit, including the feeding/flushing syringe, administration set tubing, dressings, and tape. It is important to accurately document the quantity and duration of the enteral feeding supply kit provided to the patient.

6. Historical Information and Code Maintenance

HCPCS code B4153 was added to the Healthcare Common Procedure Coding System on January 01, 1986. 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. It is important to stay updated with any changes or revisions related to this code to ensure accurate billing and coding practices.

7. Medicare and Insurance Coverage

HCPCS code B4153 is covered by Medicare and falls under the pricing indicator code 39, which represents parenteral and enteral nutrition. The multiple pricing indicator code A indicates that this code is not applicable as HCPCS priced under one methodology. It is important to check with individual insurance providers to determine coverage and reimbursement policies for this specific code.

8. Examples

Here are five examples of when HCPCS code B4153 should be billed:

1. A patient with a medical condition that requires enteral feeding via syringe is provided with an enteral feeding supply kit, including a feeding/flushing syringe, administration set tubing, dressings, and tape.
2. A healthcare facility provides daily enteral feeding via syringe to a patient who is unable to consume food orally. The enteral feeding supply kit, including all necessary components, is utilized for this purpose.
3. A home healthcare provider delivers an enteral feeding supply kit to a patient’s residence, which includes a feeding/flushing syringe, administration set tubing, dressings, and tape. The patient’s caregiver administers the enteral feeding solution using the provided kit.
4. A hospital provides an enteral feeding supply kit to a patient who requires syringe feeding during their hospital stay. The kit includes all necessary components for the enteral feeding process.
5. A healthcare provider prescribes an enteral feeding supply kit for a patient who will be undergoing a specific medical procedure that requires temporary enteral feeding via syringe. The kit is provided to the patient for the duration of the procedure.