How To Use HCPCS Code B4187

HCPCS code B4187 describes the enteral feeding supply kit for syringe feeding, which includes various components such as feeding/flushing syringe, administration set tubing, dressings, and tape. This code is used to identify and bill for the provision of Omegaven, a lipid-based nutritional supplement, with a dosage of 10 grams. It is important for medical coders to have a clear understanding of this code and its usage in order to accurately document and bill for the services provided.

1. What is HCPCS B4187?

HCPCS code B4187 is specifically used 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 nutrition administration. The code encompasses the necessary components for syringe feeding, including the feeding/flushing syringe, administration set tubing, dressings, and tape.

2. Official Description

The official description of HCPCS code B4187 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 “Omegaven, 10 grams lipids.”

3. Procedure

1. Prepare the enteral feeding supply kit, ensuring that all necessary components are included.
2. Administer the Omegaven nutritional supplement through syringe feeding.
3. Monitor the patient’s response and tolerance to the enteral feeding.
4. Document the administration of the enteral feeding supply kit and any relevant patient information.

4. When to use HCPCS code B4187

HCPCS code B4187 should be used when providing enteral feeding through syringe feeding using the specified enteral feeding supply kit. It is important to ensure that the patient meets the specific criteria for receiving this type of enteral nutrition and that the use of Omegaven with a dosage of 10 grams lipids is appropriate for their condition.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code B4187, healthcare providers need to document the administration of the enteral feeding supply kit, including the specific components used and the dosage of Omegaven administered. It is important to include relevant patient information, such as the medical necessity for enteral nutrition and any supporting documentation. Proper documentation is crucial for accurate billing and reimbursement.

6. Historical Information and Code Maintenance

HCPCS code B4187 was added to the Healthcare Common Procedure Coding System on January 01, 2020. As of its addition, there have been no maintenance actions taken for this code, 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 in order to ensure accurate documentation and billing.

7. Medicare and Insurance Coverage

HCPCS code B4187 is covered by Medicare and other insurance providers. The pricing indicator code 39 indicates that this code falls under the category of parenteral and enteral nutrition. The multiple pricing indicator code A signifies that the code is not applicable as HCPCS is priced under one methodology. Healthcare providers should follow the specific guidelines and requirements of Medicare and other insurance providers when billing for services using HCPCS code B4187.

8. Examples

Here are five examples of when HCPCS code B4187 should be billed:

1. A patient with a medical condition requiring enteral nutrition support receives Omegaven through syringe feeding using the enteral feeding supply kit.
2. A healthcare provider administers the enteral feeding supply kit to a patient who is unable to consume food orally due to a medical condition.
3. A patient with malnutrition requires enteral nutrition supplementation and is prescribed Omegaven with a dosage of 10 grams lipids.
4. A healthcare facility provides the enteral feeding supply kit and administers Omegaven to a patient during their hospital stay.
5. A home healthcare provider delivers the enteral feeding supply kit to a patient’s residence and provides instructions on how to administer Omegaven through syringe feeding.