How To Use HCPCS Code B4176

HCPCS code B4176 describes the enteral feeding supply kit for syringe feeding, per day. This code is used to identify the specific supplies and equipment required for enteral feeding through a syringe. It includes items such as feeding/flushing syringe, administration set tubing, dressings, and tape. The code was added to the Healthcare Common Procedure Coding System on January 01, 1986, and its action code indicates that there is no maintenance for this code.

1. What is HCPCS B4176?

HCPCS code B4176 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 and includes the necessary supplies and equipment to facilitate this process.

2. Official Description

The official description of HCPCS code B4176 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 7-“.

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 for their nutritional needs.
3. Cleanse the hands and wear appropriate personal protective equipment.
4. Assemble the enteral feeding supplies, connecting the administration set tubing to the feeding/flushing syringe.
5. Prepare the enteral formula according to the prescribed instructions.
6. Fill the feeding/flushing syringe with the prepared enteral formula.
7. Administer the enteral formula to the patient through the syringe, following the prescribed feeding schedule.
8. Monitor the patient during the enteral feeding process, ensuring their comfort and safety.
9. Document the enteral feeding procedure, including the amount of formula administered and any observations or complications.

4. When to use HCPCS code B4176

HCPCS code B4176 should be used when providing enteral feeding through a syringe to patients who require this method of nutrition. It is important to ensure that the patient’s enteral feeding prescription specifies syringe feeding and that it is the appropriate method for their nutritional needs.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code B4176, healthcare providers should ensure that the following documentation is included:

• Prescription or order for enteral feeding specifying syringe feeding
• Documentation of the enteral feeding procedure, including the amount of formula administered and any observations or complications

Providers should follow the appropriate billing guidelines and submit the claim with the necessary supporting documentation to ensure accurate reimbursement.

6. Historical Information and Code Maintenance

HCPCS code B4176 was added to the Healthcare Common Procedure Coding System on January 01, 1986. It has an action code of N, indicating that there is no maintenance 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 B4176 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, indicating that it is not applicable as HCPCS priced under one methodology.

8. Examples

Here are some examples of when HCPCS code B4176 should be billed:

1. A patient with a medical condition that prevents them from consuming food orally requires enteral feeding through a syringe. The enteral feeding supply kit, including the necessary supplies and equipment, is provided to the patient on a daily basis.
2. An elderly patient with difficulty swallowing requires enteral feeding through a syringe. The enteral feeding supply kit is provided to the patient for use at home, ensuring they receive the necessary nutrition.
3. A patient undergoing a medical procedure that restricts their ability to consume food orally requires enteral feeding through a syringe. The enteral feeding supply kit is provided to the patient during their hospital stay to support their nutritional needs.
4. A patient with a chronic illness that affects their ability to absorb nutrients requires enteral feeding through a syringe. The enteral feeding supply kit is provided to the patient on a recurring basis to ensure they receive adequate nutrition.
5. A patient recovering from surgery and unable to eat normally requires enteral feeding through a syringe. The enteral feeding supply kit is provided to the patient during their recovery period to support their nutritional needs.