How To Use HCPCS Code B4172

HCPCS code B4172 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 parenteral and enteral nutrition, and it is used to bill for the necessary supplies for enteral feeding.

1. What is HCPCS B4172?

HCPCS code B4172 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 feeding methods or supplies. It is specifically used for syringe feeding and includes all the necessary components for the procedure.

2. Official Description

The official description of HCPCS code B4172 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 “Parenteral sol amino acid 5.”

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 needs and ensure that syringe feeding is the appropriate method.
3. Administer the enteral feeding using the supplied kit, following the appropriate guidelines and protocols.
4. Monitor the patient during the feeding process and make any necessary adjustments or interventions.
5. Document the procedure and any relevant information, including the amount of enteral feeding administered and any complications or issues encountered.

4. When to use HCPCS code B4172

HCPCS code B4172 should be used when providing enteral feeding through syringe feeding. It is important to ensure that the patient meets the criteria for enteral feeding and that syringe feeding is the appropriate method for their specific needs. This code should not be used for other types of feeding methods or supplies.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code B4172, healthcare providers need to document the specific details of the enteral feeding procedure, including the use of the supplied kit and the amount of enteral feeding administered. It is important to include any relevant information regarding the patient’s condition and the medical necessity of the procedure. Proper documentation is crucial for accurate billing and reimbursement.

6. Historical Information and Code Maintenance

HCPCS code B4172 was added to the Healthcare Common Procedure Coding System on January 01, 1984. It has been in use for enteral feeding supply kits for syringe feeding since then. 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.

7. Medicare and Insurance Coverage

HCPCS code B4172 is covered by Medicare and other insurance providers. The pricing indicator code 39 indicates that it falls under the category of parenteral and enteral nutrition. The multiple pricing indicator code A means that it is not applicable as HCPCS priced under one methodology. It is important to verify the coverage and reimbursement policies of specific insurance providers to ensure proper billing and reimbursement.

8. Examples

Here are some examples of when HCPCS code B4172 should be billed:

1. A patient with a medical condition that requires enteral feeding through syringe feeding on a daily basis.
2. A healthcare facility providing enteral feeding services to multiple patients using the supplied kit.
3. A home healthcare provider supplying the enteral feeding kit for a patient who requires syringe feeding at home.
4. A hospital administering enteral feeding through syringe feeding to a patient during their stay.
5. A long-term care facility providing enteral feeding services to residents using the supplied kit.