How To Use HCPCS Code B5100

HCPCS code B5100 describes an enteral feeding supply kit that is used for syringe feeding. This code includes items such as feeding/flushing syringe, administration set tubing, dressings, and tape. It is important for medical coders to understand the specific meaning and usage of this code in order to accurately report and bill for the services provided.

1. What is HCPCS B5100?

HCPCS code B5100 is used to identify an enteral feeding supply kit that is specifically designed for syringe feeding. This kit includes various components such as feeding/flushing syringe, administration set tubing, dressings, and tape. It is important to note that this code is not applicable for other types of enteral feeding methods, such as gravity feeding or pump feeding.

2. Official Description

The official description of HCPCS code B5100 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 of this code is “Parenteral solution hepatic.”

3. Procedure

1. Prepare the enteral feeding supply kit by ensuring that all necessary components are included.
2. Verify the patient’s enteral feeding prescription and ensure that syringe feeding is the appropriate method.
3. Cleanse the feeding site and prepare the patient for the syringe feeding procedure.
4. Assemble the feeding/flushing syringe and administration set tubing according to the manufacturer’s instructions.
5. Connect the administration set tubing to the enteral feeding tube or device.
6. Administer the prescribed amount of enteral nutrition using the syringe feeding method.
7. Monitor the patient during the feeding procedure for any adverse reactions or complications.
8. After the feeding procedure, properly dispose of any used supplies and ensure that the patient is comfortable.

4. When to use HCPCS code B5100

HCPCS code B5100 should be used when a healthcare provider is providing enteral feeding services using the syringe feeding method. This code is specifically for patients who require enteral nutrition and are unable to consume food orally. It is important to ensure that the patient meets the eligibility criteria for enteral feeding and that syringe feeding is the appropriate method for their specific condition.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code B5100, healthcare providers should ensure that the following documentation is included:

• Prescription or order for enteral feeding
• Documentation of the patient’s medical necessity for enteral feeding
• Documentation of the specific components of the enteral feeding supply kit used
• Date and duration of the enteral feeding service

It is important to accurately document and bill for the enteral feeding supply kit and any associated services provided to ensure proper reimbursement.

6. Historical Information and Code Maintenance

HCPCS code B5100 was added to the Healthcare Common Procedure Coding System on January 01, 1988. 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 reporting and billing.

7. Medicare and Insurance Coverage

HCPCS code B5100 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 guidelines and reimbursement policies of Medicare and other insurance providers when billing for enteral feeding supply kits using HCPCS code B5100.

8. Examples

Here are five examples of when HCPCS code B5100 should be billed:

1. A patient with a medical condition that prevents them from consuming food orally requires enteral nutrition using the syringe feeding method.
2. A healthcare provider administers enteral nutrition to a patient through syringe feeding for a specified duration.
3. A patient with a feeding tube in place requires daily enteral feeding using the syringe feeding method.
4. A healthcare provider supplies the necessary enteral feeding kit components, including feeding/flushing syringe, administration set tubing, dressings, and tape, for a patient who will be performing syringe feeding at home.
5. A patient with a complex medical condition requires enteral nutrition using the syringe feeding method, and the healthcare provider provides the necessary enteral feeding supply kit.