How To Use HCPCS Code B5000

HCPCS code B5000 describes an enteral feeding supply kit that is syringe fed, 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 and enteral nutrition, and it is used to bill for the supplies needed for enteral feeding.

1. What is HCPCS B5000?

HCPCS code B5000 is used to identify an enteral feeding supply kit that is syringe fed, per day. This code is specifically used for billing purposes and is essential for accurately documenting and reimbursing for the supplies used in enteral feeding procedures.

2. Official Description

The official description of HCPCS code B5000 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 renal-amirosy.”

3. Procedure

1. Before administering enteral feeding, the healthcare provider ensures that the patient’s enteral feeding plan is established and approved by the appropriate medical professionals.
2. The provider assembles the enteral feeding supply kit, which includes a feeding/flushing syringe, administration set tubing, dressings, and tape.
3. The provider connects the administration set tubing to the enteral feeding tube, ensuring a secure and sterile connection.
4. The provider flushes the enteral feeding tube with an appropriate solution using the feeding/flushing syringe.
5. The provider administers the enteral feeding solution through the enteral feeding tube using the syringe.
6. After the enteral feeding is complete, the provider flushes the enteral feeding tube again to ensure proper clearance.
7. The provider removes the administration set tubing and properly disposes of all used supplies.

4. When to use HCPCS code B5000

HCPCS code B5000 should be used when billing for the enteral feeding supply kit that is syringe fed, per day. It is important to use this code when the specific supplies mentioned in the official description are provided to the patient for enteral feeding purposes.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code B5000, healthcare providers need to ensure that the following documentation requirements are met:

• Medical records should include the patient’s enteral feeding plan, including the need for syringe feeding and the frequency of administration.
• Documentation should clearly indicate the use of the enteral feeding supply kit, including the specific supplies provided.
• Providers should maintain records of the quantity of supplies used per day to support the billing of this code.

6. Historical Information and Code Maintenance

HCPCS code B5000 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 is important to note that this code has a coverage code of D, which indicates that special coverage instructions may apply.

7. Medicare and Insurance Coverage

HCPCS code B5000 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. Providers should follow the specific billing guidelines and reimbursement rates set by Medicare and other insurance carriers.

8. Examples

Here are some examples of when HCPCS code B5000 should be billed:

1. A patient with a feeding tube requires enteral feeding supplies, including a feeding/flushing syringe, administration set tubing, dressings, and tape, for a 24-hour period.
2. A healthcare facility provides enteral feeding supplies to a patient who is unable to consume food orally due to a medical condition. The supplies include a feeding/flushing syringe, administration set tubing, dressings, and tape.
3. A home healthcare provider delivers enteral feeding supplies to a patient’s residence, including a feeding/flushing syringe, administration set tubing, dressings, and tape, for a week’s supply.
4. A hospice agency provides enteral feeding supplies to a terminally ill patient, including a feeding/flushing syringe, administration set tubing, dressings, and tape, for a month’s supply.
5. A long-term care facility orders enteral feeding supplies, including a feeding/flushing syringe, administration set tubing, dressings, and tape, for multiple patients for a specified period.