How To Use HCPCS Code B4220

HCPCS code B4220 describes the enteral feeding supply kit for syringe feeding, per day. This code is used to identify the specific supplies included in the kit, such as feeding/flushing syringe, administration set tubing, dressings, and tape. It is important for medical coders to understand the details and usage of this code to ensure accurate billing and reimbursement.

1. What is HCPCS B4220?

HCPCS code B4220 is a specific code used to identify the enteral feeding supply kit for syringe feeding, per day. It is important to note that this code is only applicable for syringe feeding and not for other methods of enteral feeding. The code represents the supplies included in the kit, which are necessary for the administration of enteral nutrition.

2. Official Description

The official description of HCPCS code B4220 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 supply kit premix.”

3. Procedure

1. Ensure that the patient is prescribed enteral feeding via syringe.
2. Gather the necessary supplies for the enteral feeding supply kit, including a feeding/flushing syringe, administration set tubing, dressings, and tape.
3. Prepare the enteral nutrition according to the patient’s specific needs and instructions.
4. Connect the administration set tubing to the feeding/flushing syringe.
5. Administer the enteral nutrition to the patient using the syringe feeding method.
6. Monitor the patient during the feeding process to ensure proper administration and any potential complications.
7. Document the details of the enteral feeding procedure in the patient’s medical record.

4. When to use HCPCS code B4220

HCPCS code B4220 should be used when the patient requires enteral feeding via syringe and the healthcare provider supplies the necessary kit for this method. It is important to ensure that the patient meets the specific criteria for syringe feeding and that the supplies included in the kit are used for this purpose.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code B4220, healthcare providers need to document the medical necessity for enteral feeding via syringe and the specific supplies provided in the kit. It is important to include detailed information about the patient’s condition, the prescribed method of enteral feeding, and any supporting documentation from the prescribing physician.

6. Historical Information and Code Maintenance

HCPCS code B4220 was added to the Healthcare Common Procedure Coding System on January 01, 1984. 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 billing and reimbursement.

7. Medicare and Insurance Coverage

HCPCS code B4220 is covered by Medicare and other insurance providers. The pricing indicator code 39 indicates that it falls under the category of parenteral and enteral nutrition. The multiple pricing indicator code A means that it is not applicable as HCPCS priced under one methodology. Healthcare providers should follow the specific billing guidelines and requirements of Medicare and other insurance providers to ensure proper reimbursement.

8. Examples

Here are five examples of when HCPCS code B4220 should be billed:

1. A patient with a medical condition that requires enteral feeding via syringe is prescribed a daily enteral feeding supply kit. The healthcare provider supplies the necessary feeding/flushing syringe, administration set tubing, dressings, and tape.
2. A patient undergoing a surgical procedure that temporarily impairs their ability to consume food orally requires enteral feeding via syringe. The healthcare provider provides the enteral feeding supply kit for the duration of the patient’s recovery.
3. A patient with a chronic illness that affects their ability to eat or digest food normally requires long-term enteral feeding via syringe. The healthcare provider supplies the enteral feeding supply kit on a regular basis.
4. A patient with a severe injury that prevents them from consuming food orally requires enteral feeding via syringe during their recovery. The healthcare provider provides the necessary supplies for the enteral feeding supply kit.
5. A patient with a specific medical condition that requires precise control of enteral nutrition intake is prescribed enteral feeding via syringe. The healthcare provider supplies the enteral feeding supply kit to ensure accurate administration of the nutrition.