How To Use HCPCS Code B4178

HCPCS code B4178 describes the enteral feeding supply kit for syringe feeding, per day. This code is used to identify the specific supplies and equipment needed 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 1, 1988, and its action effective date is January 1, 2002. It falls under the coverage code D, which means special coverage instructions apply.

1. What is HCPCS B4178?

HCPCS code B4178 is used to identify the enteral feeding supply kit for syringe feeding, per day. It specifically refers to the supplies and equipment required for enteral feeding through a syringe. This code is important for medical coders and billers to accurately document and bill for the enteral feeding supplies provided to patients.

2. Official Description

The official description of HCPCS code B4178 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 >”. It is essential to use the exact descriptions provided when using this code for documentation and billing purposes.

3. Procedure

1. Ensure that the patient requires enteral feeding through a syringe.
2. Gather the necessary supplies, including a feeding/flushing syringe, administration set tubing, dressings, and tape.
3. Prepare the enteral feeding solution according to the patient’s needs and medical orders.
4. Connect the administration set tubing to the feeding/flushing syringe.
5. Administer the enteral feeding solution to the patient through the syringe.
6. Monitor the patient during the feeding process and make any necessary adjustments.
7. Document the enteral feeding procedure and the supplies used in the patient’s medical record.

4. When to use HCPCS code B4178

HCPCS code B4178 should be used when providing enteral feeding supplies for syringe feeding on a daily basis. It is important to ensure that the patient meets the criteria for enteral feeding and that the supplies are necessary for their care. This code should not be used for other types of enteral feeding methods or for supplies not included in the official description.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code B4178, healthcare providers need to document the medical necessity of the enteral feeding supplies and the specific items provided. This documentation should include the patient’s condition, the need for enteral feeding, and the frequency of syringe feeding. Additionally, providers should include the quantity of supplies provided and any relevant supporting documentation, such as medical orders or prescriptions.

6. Historical Information and Code Maintenance

HCPCS code B4178 was added to the Healthcare Common Procedure Coding System on January 1, 1988. It has an action effective date of January 1, 2002, indicating that it has been in use for a significant period. There have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code. This suggests that the code has remained unchanged since its addition to the system.

7. Medicare and Insurance Coverage

HCPCS code B4178 falls under the pricing indicator code 39, which indicates that it is related to parenteral and enteral nutrition. The multiple pricing indicator code A means that it is not applicable as HCPCS priced under one methodology. Medicare and other insurance providers may cover the enteral feeding supplies identified by this code, but coverage may vary depending on the specific policy and medical necessity requirements. Providers should verify coverage with the patient’s insurance carrier before providing the supplies.

8. Examples

Here are some examples of when HCPCS code B4178 should be billed:

1. A patient with a medical condition that requires enteral feeding through a syringe receives the enteral feeding supply kit daily, including the feeding/flushing syringe, administration set tubing, dressings, and tape.
2. A healthcare facility provides enteral feeding supplies for a patient who is unable to consume food orally and requires syringe feeding. The supplies, including the feeding/flushing syringe, administration set tubing, dressings, and tape, are provided on a daily basis.
3. An individual with a chronic illness receives enteral feeding through a syringe at home. The enteral feeding supply kit, which includes the necessary syringe, tubing, dressings, and tape, is provided for daily use.
4. A patient undergoing a medical procedure that temporarily prevents oral intake requires enteral feeding through a syringe. The enteral feeding supply kit, consisting of the feeding/flushing syringe, administration set tubing, dressings, and tape, is provided for each day of the procedure.
5. A healthcare provider prescribes enteral feeding through a syringe for a patient with a specific medical condition. The enteral feeding supply kit, including the necessary supplies such as the feeding/flushing syringe, administration set tubing, dressings, and tape, is provided on a daily basis as part of the patient’s treatment plan.