How To Use HCPCS Code B4162

HCPCS code B4162 describes an enteral feeding supply kit that is specifically designed for syringe feeding. This code is used to identify the daily provision of supplies necessary for enteral feeding, including but not limited to feeding/flushing syringe, administration set tubing, dressings, and tape.

1. What is HCPCS B4162?

HCPCS code B4162 is a specific code used in medical coding to identify the enteral feeding supply kit for syringe feeding. It is important to note that this code is only applicable for syringe-fed enteral feeding and should not be used for other methods of enteral feeding.

2. Official Description

The official description of HCPCS code B4162 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 specmetabolic inherit.”

3. Procedure

1. Prepare the enteral feeding supply kit, ensuring that it includes a feeding/flushing syringe, administration set tubing, dressings, and tape.
2. Verify the patient’s enteral feeding prescription and ensure that syringe feeding is the appropriate method.
3. Administer the enteral feeding using the syringe and the provided administration set tubing.
4. Monitor the patient during the enteral feeding process to ensure proper administration and any potential complications.
5. Document the enteral feeding procedure in the patient’s medical record, including the date, time, amount of feeding, and any relevant observations or complications.

4. When to use HCPCS code B4162

HCPCS code B4162 should be used when providing enteral feeding supplies for syringe-fed enteral feeding on a daily basis. It is important to ensure that the patient meets the eligibility criteria for enteral feeding and that syringe feeding is the appropriate method for their specific condition.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code B4162, healthcare providers need to document the provision of the enteral feeding supply kit and the administration of syringe-fed enteral feeding. This documentation should include the date, time, and duration of the enteral feeding, as well as any relevant observations or complications. It is also important to include the patient’s medical record number and any supporting documentation, such as the enteral feeding prescription.

6. Historical Information and Code Maintenance

HCPCS code B4162 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.

7. Medicare and Insurance Coverage

HCPCS code B4162 is eligible for coverage by Medicare and other insurance providers. The pricing indicator code 46 indicates that the carrier determines the pricing for this code. It is important for healthcare providers to verify the coverage and reimbursement policies of each specific insurance provider to ensure proper billing and reimbursement.

8. Examples

Here are five examples of when HCPCS code B4162 should be billed:

1. A pediatric patient with a metabolic inherited disorder requiring enteral feeding via syringe.
2. A patient with a gastrointestinal condition who is unable to tolerate oral intake and requires enteral feeding through a syringe.
3. A patient undergoing a medical procedure that requires temporary enteral feeding via syringe.
4. A patient with a neurological condition affecting their ability to swallow, necessitating enteral feeding through a syringe.
5. A patient with a chronic illness requiring long-term enteral feeding via syringe.