How To Use HCPCS Code B4159

HCPCS code B4159 describes an enteral feeding supply kit that is specifically designed for syringe feeding. This code is used to identify the complete soy-based enteral feeding supply kit, which includes various components such as feeding/flushing syringe, administration set tubing, dressings, and tape. It is important for medical coders to understand the specific details and usage of this code to ensure accurate billing and reimbursement.

1. What is HCPCS B4159?

HCPCS code B4159 is used to identify the enteral feeding supply kit that is specifically designed for syringe feeding. This code is applicable for per day usage and covers the complete soy-based enteral feeding supply kit. It includes various components such as feeding/flushing syringe, administration set tubing, dressings, and tape.

2. Official Description

The official description of HCPCS code B4159 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 ped complete soy based.”

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. Prepare the patient for the enteral feeding procedure.
4. Administer the enteral feeding using the syringe and administration set tubing.
5. Monitor the patient during the feeding process to ensure proper intake and any potential complications.
6. After the feeding is complete, remove the administration set tubing and properly dispose of all used materials.
7. Document the enteral feeding procedure in the patient’s medical record.

4. When to use HCPCS code B4159

HCPCS code B4159 should be used when providing enteral feeding using a syringe and the complete soy-based enteral feeding supply kit. It is important to ensure that all the components mentioned in the official description are included in the kit. This code is specifically for per day usage and should be reported accordingly.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code B4159, healthcare providers need to document the usage of the complete soy-based enteral feeding supply kit for syringe feeding. The documentation should include details such as the date of service, the duration of the enteral feeding, and any complications or adverse reactions observed during the procedure. It is important to follow the specific billing guidelines provided by the payer to ensure accurate reimbursement.

6. Historical Information and Code Maintenance

HCPCS code B4159 was added to the Healthcare Common Procedure Coding System on January 01, 2005. 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 for medical coders to stay updated with any changes or revisions related to this code.

7. Medicare and Insurance Coverage

HCPCS code B4159 is covered by Medicare and other insurance providers. The pricing indicator code for this code is 46, which indicates that it is carrier priced. This means that the reimbursement amount for this code is determined by the individual carrier based on their discretion and other factors. The multiple pricing indicator code for this code is A, which means it is not applicable as HCPCS priced under one methodology.

8. Examples

Here are some examples of when HCPCS code B4159 should be billed:

1. A pediatric patient with specific dietary requirements requires enteral feeding using a complete soy-based enteral feeding supply kit.
2. A patient with a medical condition that prevents them from consuming solid food requires enteral feeding using a syringe and the complete soy-based enteral feeding supply kit.
3. A healthcare facility provides enteral feeding services to multiple patients using the complete soy-based enteral feeding supply kit on a daily basis.
4. A home healthcare provider supplies the complete soy-based enteral feeding supply kit to a patient who requires syringe feeding at home.
5. A patient undergoing a medical procedure that requires temporary enteral feeding receives the complete soy-based enteral feeding supply kit for the duration of the procedure.