How To Use HCPCS Code B4199

HCPCS code B4199 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 solutions with a protein content greater than 100 grams. In this article, we will explore the details of HCPCS code B4199, including its official description, procedure, usage guidelines, billing requirements, historical information, and coverage by Medicare and insurance providers.

1. What is HCPCS B4199?

HCPCS code B4199 is used to identify the enteral feeding supply kit for syringe feeding, per day. It encompasses the necessary components for enteral feeding, including the feeding/flushing syringe, administration set tubing, dressings, and tape. This code is specifically applicable to parenteral solutions with a protein content greater than 100 grams.

2. Official Description

The official description of HCPCS code B4199 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 > 100gm prote.”

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 protein content of the parenteral solution to be administered, ensuring it is greater than 100 grams.
3. Connect the administration set tubing to the feeding/flushing syringe.
4. Properly secure the dressings and tape to ensure the enteral feeding supply kit remains in place during the feeding process.
5. Administer the parenteral solution using the syringe feeding method.
6. Monitor the patient during the enteral feeding process to ensure proper administration and any potential complications.

4. When to use HCPCS code B4199

HCPCS code B4199 should be used when providing enteral feeding using a syringe feeding method. It is specifically applicable to parenteral solutions with a protein content greater than 100 grams. This code is used to identify the supply kit required for the enteral feeding process, including the feeding/flushing syringe, administration set tubing, dressings, and tape.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code B4199, healthcare providers need to document the usage of the enteral feeding supply kit for syringe feeding, per day. This documentation should include details such as the protein content of the parenteral solution, the specific components of the supply kit provided, and any relevant patient information. Proper documentation is essential for accurate billing and reimbursement.

6. Historical Information and Code Maintenance

HCPCS code B4199 was added to the Healthcare Common Procedure Coding System on January 01, 1988. Since its addition, 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 falls under the pricing indicator code 39, which represents parenteral and enteral nutrition. The multiple pricing indicator code A indicates that the code is not applicable as HCPCS priced under one methodology. The Medicare Carriers Manual Reference Section Number for this code is 2130.

7. Medicare and Insurance Coverage

HCPCS code B4199 is eligible for coverage by Medicare and other insurance providers. The pricing indicator code 39 indicates that it falls under the category of parenteral and enteral nutrition, which is covered by Medicare. However, coverage may vary depending on the specific insurance plan and the patient’s eligibility criteria. It is important to verify coverage with the insurance provider before providing the enteral feeding supply kit.

8. Examples

Here are five examples of when HCPCS code B4199 should be billed:

1. A patient with a protein requirement of 120 grams per day receives enteral feeding using a syringe feeding method. The enteral feeding supply kit, including the necessary components, is provided.
2. A healthcare facility administers a parenteral solution with a protein content of 150 grams to a patient using the syringe feeding method. The enteral feeding supply kit is utilized for the administration.
3. An individual with a protein requirement of 110 grams per day receives enteral feeding through a syringe feeding method. The enteral feeding supply kit is provided to facilitate the process.
4. A home healthcare provider administers a parenteral solution with a protein content of 130 grams to a patient using the syringe feeding method. The necessary enteral feeding supply kit is utilized.
5. A hospital provides enteral feeding to a patient with a protein requirement of 140 grams per day. The enteral feeding supply kit, including the feeding/flushing syringe, administration set tubing, dressings, and tape, is used for the procedure.