How To Use HCPCS Code B4224

HCPCS code B4224 describes the enteral feeding supply kit for syringe feeding, per day. This code is used to identify the specific supplies and equipment needed for enteral feeding through syringe administration. It includes items such as feeding/flushing syringe, administration set tubing, dressings, and tape. The code was added to the Healthcare Common Procedure Coding System on January 01, 1986, and its action effective date is January 01, 2002.

1. What is HCPCS B4224?

HCPCS code B4224 is a specific code used to identify the enteral feeding supply kit for syringe feeding, per day. It is important for medical coders to correctly assign this code when billing for the supplies and equipment used in enteral feeding procedures. This code ensures accurate reimbursement for the healthcare provider and helps in maintaining proper documentation for insurance claims.

2. Official Description

The official description of HCPCS code B4224 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 administration kit.”

3. Procedure

1. Ensure that the patient is in need of enteral feeding through syringe administration.
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 feeding solution according to the patient’s specific needs and medical orders.
4. Connect the administration set tubing to the feeding/flushing syringe and ensure proper priming of the tubing.
5. Administer the enteral feeding solution to the patient using the syringe, following the prescribed rate and volume.
6. Monitor the patient during the enteral feeding procedure for any adverse reactions or complications.
7. Document the enteral feeding procedure, including the supplies used, the amount of solution administered, and any observations or interventions.

4. When to use HCPCS code B4224

HCPCS code B4224 should be used when billing for the enteral feeding supply kit used for syringe feeding, per day. It is important to ensure that the patient meets the criteria for enteral feeding and that the supplies and equipment included in the kit are necessary for their specific medical condition. This code should only be used in the context of enteral feeding procedures and not for other types of administration or supplies.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code B4224, healthcare providers need to document the specific supplies and equipment used in the enteral feeding procedure. This includes the feeding/flushing syringe, administration set tubing, dressings, and tape. The documentation should also include the amount of enteral feeding solution administered and any relevant observations or interventions. Proper documentation is essential for accurate billing and reimbursement.

6. Historical Information and Code Maintenance

HCPCS code B4224 was added to the Healthcare Common Procedure Coding System on January 01, 1986. It has an action effective date of January 01, 2002, indicating that it is currently in use. There have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code. This code has remained consistent since its addition to the HCPCS.

7. Medicare and Insurance Coverage

HCPCS code B4224 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 billing guidelines and requirements set by Medicare and other insurance providers to ensure proper reimbursement.

8. Examples

Here are five examples of when HCPCS code B4224 should be billed:

1. A patient with a medical condition that requires enteral feeding through syringe administration receives the enteral feeding supply kit daily.
2. A healthcare provider administers enteral feeding to a patient using the supplies included in the enteral feeding supply kit.
3. A patient with a feeding tube requires daily enteral feeding, and the healthcare provider utilizes the enteral feeding supply kit for syringe feeding.
4. A home healthcare agency provides the enteral feeding supply kit to a patient’s caregiver for daily use in administering enteral feeding.
5. A hospital provides the enteral feeding supply kit to a patient upon discharge for continued enteral feeding at home.