How To Use HCPCS Code B4154

HCPCS code B4154 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 and flushing syringes, administration set tubing, dressings, and tape. The code was added to the Healthcare Common Procedure Coding System on January 1, 1984, and its action effective date is January 1, 2005.

1. What is HCPCS B4154?

HCPCS code B4154 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 is not applicable for other methods of enteral feeding, such as tube feeding or oral intake. It is important for medical coders to accurately assign this code to ensure proper reimbursement for the enteral feeding supplies provided.

2. Official Description

The official description of HCPCS code B4154 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 spec metabolic noninherit.”

3. Procedure

1. Ensure that the patient requires enteral feeding through a syringe.
2. Gather the necessary supplies for enteral feeding, including feeding and flushing syringes, administration set tubing, dressings, and tape.
3. Prepare the enteral feeding solution according to the patient’s specific nutritional needs.
4. Connect the administration set tubing to the syringe and secure it with tape.
5. Administer the enteral feeding solution to the patient through the syringe.
6. Flush the syringe and administration set tubing with water or an appropriate flushing solution after each feeding.
7. Monitor the patient’s response to enteral feeding and make any necessary adjustments to the feeding regimen.

4. When to use HCPCS code B4154

HCPCS code B4154 should be used when a patient requires enteral feeding through a syringe. This may be necessary for patients who are unable to consume food orally or who have specific metabolic needs that require precise control of their nutritional intake. It is important to ensure that the patient meets the specific criteria for enteral feeding through a syringe before assigning this code.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code B4154, healthcare providers need to document the medical necessity of enteral feeding through a syringe for the patient. This may include documentation of the patient’s inability to consume food orally, specific metabolic needs, or other medical conditions that require enteral feeding. Additionally, providers should include detailed documentation of the supplies and equipment provided, including the type and quantity of syringes, administration set tubing, dressings, and tape.

6. Historical Information and Code Maintenance

HCPCS code B4154 was added to the Healthcare Common Procedure Coding System on January 1, 1984. Its action effective date is January 1, 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. It is important for medical coders to stay updated on any changes or revisions to the code to ensure accurate coding and billing.

7. Medicare and Insurance Coverage

HCPCS code B4154 is covered by Medicare and other insurance providers. The pricing indicator code for this code is 39, which indicates that it falls under the category of parenteral and enteral nutrition. The multiple pricing indicator code is A, which means it is not applicable as HCPCS priced under one methodology. Providers should follow the specific guidelines and reimbursement rates set by Medicare and other insurers when billing for enteral feeding supplies using HCPCS code B4154.

8. Examples

Here are five examples of when HCPCS code B4154 should be billed:

1. A patient with severe dysphagia requires enteral feeding through a syringe due to their inability to swallow food orally.
2. A patient with a specific metabolic disorder requires precise control of their nutritional intake, which is achieved through enteral feeding using a syringe.
3. A patient undergoing a medical procedure that temporarily restricts oral intake needs enteral feeding through a syringe to meet their nutritional needs.
4. A patient with a gastrointestinal condition that impairs their ability to absorb nutrients orally requires enteral feeding through a syringe for adequate nutrition.
5. A patient with a neurological disorder that affects their ability to eat or drink independently requires enteral feeding through a syringe for proper nutrition.