How To Use HCPCS Code B4222

HCPCS code B4222 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 meaning and usage of this code to ensure accurate billing and reimbursement.

1. What is HCPCS B4222?

HCPCS code B4222 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 supplies included in the kit are not limited to feeding/flushing syringe, administration set tubing, dressings, and tape. Medical coders should use this code when billing for the enteral feeding supply kit for syringe feeding.

2. Official Description

The official description of HCPCS code B4222 is “Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape.” This description accurately reflects the purpose and components of the enteral feeding supply kit for syringe feeding.

3. Procedure

1. Ensure that the patient requires 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 feeding/flushing syringe by attaching the administration set tubing.
4. Clean the patient’s feeding site and apply dressings as needed.
5. Connect the administration set tubing to the patient’s feeding tube.
6. Administer the enteral feeding solution using the syringe according to the prescribed schedule.
7. Flush the feeding tube with the appropriate amount of water or saline solution after each feeding.
8. Secure the administration set tubing and dressings with tape to prevent dislodgement.

4. When to use HCPCS code B4222

HCPCS code B4222 should be used when the patient requires enteral feeding via syringe. This code is specifically for the enteral feeding supply kit used for syringe feeding. It is important to ensure that the patient meets the criteria for enteral feeding and that syringe feeding is the appropriate method for their nutritional needs.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code B4222, healthcare providers need to document the medical necessity for enteral feeding via syringe and the specific supplies provided in the enteral feeding supply kit. The documentation should include the patient’s medical condition, the prescribed feeding schedule, and any relevant clinical notes. Additionally, the provider should include the start and end dates for the billing period, as this code is billed per day.

6. Historical Information and Code Maintenance

HCPCS code B4222 was added to the Healthcare Common Procedure Coding System on January 01, 1986. 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 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 B4222 is covered by Medicare and other insurance providers. The pricing indicator code 39 indicates that this code is related to parenteral and enteral nutrition. The multiple pricing indicator code A means that this code is not applicable as HCPCS priced under one methodology. Medical coders should follow the specific guidelines and policies of Medicare and other insurance providers when billing for the enteral feeding supply kit using HCPCS code B4222.

8. Examples

Here are five examples of when HCPCS code B4222 should be billed:

1. A patient with dysphagia requires enteral feeding via syringe due to difficulty swallowing.
2. A patient with a feeding tube needs to be fed using a syringe due to a malfunction in the feeding pump.
3. A patient with a temporary feeding tube requires syringe feeding during their hospital stay.
4. A patient with a chronic illness requires enteral feeding at home and prefers syringe feeding over other methods.
5. A patient undergoing a medical procedure requires temporary enteral feeding via syringe.