How To Use HCPCS Code B4180

HCPCS code B4180 describes the enteral feeding supply kit for syringe feeding, per day. This code is used to identify the specific supplies and equipment needed for syringe feeding, including feeding/flushing syringe, administration set tubing, dressings, and tape. It is important for medical coders to understand the meaning and usage of this code to accurately bill for the services provided.

1. What is HCPCS B4180?

HCPCS code B4180 is used to identify the enteral feeding supply kit for syringe feeding, per day. It is specifically designed for patients who require enteral feeding through a syringe. The kit includes various components such as feeding/flushing syringe, administration set tubing, dressings, and tape. This code is essential for medical coders to accurately document and bill for the supplies and equipment used in syringe feeding procedures.

2. Official Description

The official description of HCPCS code B4180 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 carb > 50%.” It is important to use the exact descriptions provided to ensure accurate coding and billing.

3. Procedure

1. Prepare the enteral feeding supply kit, ensuring that all necessary components are included.
2. Verify the patient’s enteral feeding prescription and ensure that syringe feeding is the appropriate method.
3. Assemble the feeding/flushing syringe, administration set tubing, and other necessary components.
4. Cleanse the feeding site and apply dressings as needed.
5. Connect the administration set tubing to the enteral feeding tube.
6. Administer the prescribed enteral feeding solution using the syringe.
7. Monitor the patient during the feeding process and make any necessary adjustments.
8. Document the procedure and any relevant information in the patient’s medical record.

4. When to use HCPCS code B4180

HCPCS code B4180 should be used when providing enteral feeding through a syringe. It is important to ensure that the patient meets the specific criteria for syringe feeding and that this method is appropriate for their condition. Medical coders should review the patient’s medical records and consult with the healthcare provider to determine the correct usage of this code.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code B4180, healthcare providers need to document the specific supplies and equipment used in the enteral feeding supply kit. This includes the feeding/flushing syringe, administration set tubing, dressings, and tape. The documentation should also include the date of service and the number of days the kit was provided. It is important to accurately code and bill for the supplies and services provided to ensure proper reimbursement.

6. Historical Information and Code Maintenance

HCPCS code B4180 was added to the Healthcare Common Procedure Coding System on January 01, 1986. It has an effective date of January 01, 2002. 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 on any changes or revisions to the code to ensure accurate coding and billing.

7. Medicare and Insurance Coverage

HCPCS code B4180 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, which means it is not applicable as HCPCS priced under one methodology. Healthcare providers should follow the specific guidelines and requirements of Medicare and other insurance providers when billing for services using this code.

8. Examples

Here are five examples of when HCPCS code B4180 should be billed:

1. A patient with a medical condition that requires enteral feeding through a syringe is provided with an enteral feeding supply kit for one day.
2. A healthcare provider administers enteral feeding through a syringe to a patient in a home healthcare setting using the supplies from the enteral feeding supply kit.
3. A patient is discharged from the hospital and is provided with an enteral feeding supply kit for syringe feeding for a specified number of days.
4. A healthcare provider performs a syringe feeding procedure on a patient in an outpatient clinic using the supplies from the enteral feeding supply kit.
5. A patient with a chronic medical condition requires long-term enteral feeding through a syringe and is provided with an enteral feeding supply kit on a regular basis.