How To Use HCPCS Code B5200

HCPCS code B5200 describes the enteral feeding supply kit for syringe feeding, per day. This code is used to identify the specific supplies and equipment needed for syringe feeding, including feeding/flushing syringe, administration set tubing, dressings, and tape. It is important for medical coders to understand the meaning and usage of this code in order to accurately report and bill for these services.

1. What is HCPCS B5200?

HCPCS code B5200 is used to identify the enteral feeding supply kit for syringe feeding, per day. This code is specifically for the supplies and equipment needed for syringe feeding, including the 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 or supplies.

2. Official Description

The official description of HCPCS code B5200 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 hepatic fream.”

3. Procedure

1. Prepare the enteral feeding supply kit, including the feeding/flushing syringe, administration set tubing, dressings, and tape.
2. Ensure that all supplies are sterile and in proper working condition.
3. Administer the enteral feeding using the syringe feeding method.
4. Monitor the patient during the feeding process to ensure proper administration and any potential complications.
5. Document the details of the enteral feeding procedure in the patient’s medical record.

4. When to use HCPCS code B5200

HCPCS code B5200 should be used when the healthcare provider is providing enteral feeding using the syringe feeding method. This code is specifically for the supplies and equipment needed for syringe feeding, including the feeding/flushing syringe, administration set tubing, dressings, and tape. It is important to ensure that the patient meets the criteria for enteral feeding and that the syringe feeding method is appropriate for their condition.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code B5200, healthcare providers need to document the details of the enteral feeding procedure, including the date, time, and duration of the feeding, as well as any complications or adverse reactions. They should also include the specific supplies and equipment used, such as the feeding/flushing syringe, administration set tubing, dressings, and tape. It is important to follow the documentation guidelines set forth by the payer to ensure accurate and timely reimbursement.

6. Historical Information and Code Maintenance

HCPCS code B5200 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 to stay updated on any changes or revisions to the code to ensure accurate reporting and billing.

7. Medicare and Insurance Coverage

HCPCS code B5200 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. It is important to verify coverage and reimbursement policies with the specific payer to ensure proper billing and reimbursement.

8. Examples

Here are five examples of when HCPCS code B5200 should be billed:

1. A patient with a gastrointestinal disorder requires enteral feeding using the syringe feeding method. The healthcare provider supplies the necessary enteral feeding kit, including the feeding/flushing syringe, administration set tubing, dressings, and tape.
2. An elderly patient with dysphagia needs enteral feeding support. The healthcare provider uses the syringe feeding method and provides the enteral feeding supply kit, including the necessary supplies and equipment.
3. A patient with a neurological condition is unable to eat orally and requires enteral feeding. The healthcare provider administers the enteral feeding using the syringe feeding method and provides the enteral feeding supply kit.
4. A patient undergoing chemotherapy experiences difficulty with oral intake and requires enteral feeding. The healthcare provider uses the syringe feeding method and provides the necessary enteral feeding supplies and equipment.
5. A patient with a severe burn injury is unable to eat orally and requires enteral feeding. The healthcare provider administers the enteral feeding using the syringe feeding method and supplies the enteral feeding kit.