How To Use HCPCS Code B4155

HCPCS code B4155 describes an enteral feeding supply kit that is syringe fed, per day. This code includes various components such as feeding/flushing syringe, administration set tubing, dressings, and tape. It falls under the category of incomplete/modular enteral feeding supplies. In this article, we will explore the details of HCPCS code B4155, including its official description, procedure, usage guidelines, billing requirements, historical information, and coverage by Medicare and insurance providers.

1. What is HCPCS B4155?

HCPCS code B4155 is used to identify an enteral feeding supply kit that is syringe fed, per day. This code is specifically for incomplete/modular enteral feeding supplies. It is important to note that this code is not applicable for complete enteral feeding supplies. The code is used to accurately document and bill for the specific enteral feeding supplies provided to patients.

2. Official Description

The official description of HCPCS code B4155 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 incomplete/modular.”

3. Procedure

1. When providing enteral feeding supplies using HCPCS code B4155, the healthcare provider should ensure that the patient’s enteral feeding needs are assessed and documented.
2. The provider should assemble the enteral feeding supply kit, which includes a feeding/flushing syringe, administration set tubing, dressings, and tape.
3. The provider should educate the patient or caregiver on the proper use and maintenance of the enteral feeding supplies.
4. The enteral feeding supplies should be provided to the patient or caregiver, along with any necessary instructions for use.
5. The provider should document the provision of the enteral feeding supplies in the patient’s medical record, including the date of service and any relevant details.

4. When to use HCPCS code B4155

HCPCS code B4155 should be used when providing enteral feeding supplies that are syringe fed, per day. It is important to ensure that the patient meets the eligibility criteria for enteral feeding and that the supplies are medically necessary for their condition. This code should not be used for complete enteral feeding supplies or for other types of enteral feeding methods.

5. Billing Guidelines and Documentation Requirements

When billing for enteral feeding supplies using HCPCS code B4155, healthcare providers should ensure that the following documentation requirements are met:

• Documentation of the patient’s enteral feeding needs and medical necessity for the supplies
• Documentation of the provision of the enteral feeding supplies, including the date of service
• Itemized list of the enteral feeding supplies provided
• Any additional documentation required by the payer or insurance provider

Providers should also follow the appropriate billing guidelines and coding rules set forth by Medicare or other insurance providers to ensure accurate and timely reimbursement.

6. Historical Information and Code Maintenance

HCPCS code B4155 was added to the Healthcare Common Procedure Coding System on January 01, 1986. It has an effective date of January 01, 2005. As indicated by the action code N, no maintenance actions have been taken for this code. This means that there have been no updates or revisions to the code since its addition.

7. Medicare and Insurance Coverage

HCPCS code B4155 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 that the code is not applicable as HCPCS priced under one methodology.

8. Examples

Here are five examples of when HCPCS code B4155 should be billed:

1. A patient requires enteral feeding supplies for syringe feeding on a daily basis due to a medical condition that impairs their ability to consume food orally.
2. A caregiver needs enteral feeding supplies to administer nutrition to a bedridden patient who is unable to eat or drink independently.
3. A patient with a gastrointestinal disorder requires enteral feeding supplies to ensure adequate nutrition and hydration.
4. A healthcare facility provides enteral feeding supplies to patients who are recovering from surgery and are unable to consume food orally.
5. A patient with a chronic illness requires enteral feeding supplies to meet their nutritional needs and maintain their overall health.