How To Use HCPCS Code B9000

HCPCS code B9000 describes an enteral feeding supply kit for syringe feeding, 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 is used for durable medical equipment (DME) purposes.

1. What is HCPCS B9000?

HCPCS code B9000 is specifically used to identify an enteral feeding supply kit for syringe feeding, per day. This code is applicable for patients who require enteral feeding and includes all the necessary supplies for the procedure. It is important to note that this code is not applicable for other types of feeding methods or equipment.

2. Official Description

The official description of HCPCS code B9000 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 “Enter infusion pump w/o alrm.”

3. Procedure

1. Ensure that the patient is in need of enteral feeding via syringe.
2. Gather all the necessary supplies for the enteral feeding supply kit, including a feeding/flushing syringe, administration set tubing, dressings, and tape.
3. Prepare the syringe with the appropriate enteral formula or medication.
4. Connect the administration set tubing to the syringe and ensure a secure connection.
5. Place the dressings and tape on the patient’s skin to secure the tubing and prevent any leakage.
6. Administer the enteral feeding solution or medication as prescribed by the healthcare provider.
7. Monitor the patient during the feeding process to ensure proper tolerance and response.
8. Dispose of any used supplies properly and ensure cleanliness and hygiene.

4. When to use HCPCS code B9000

HCPCS code B9000 should be used when a patient requires enteral feeding via syringe. This code is specifically for the supply kit used in the procedure, 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 procedure is medically necessary.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code B9000, healthcare providers need to document the medical necessity of the enteral feeding procedure and the need for the specific supplies included in the kit. The documentation should include the patient’s diagnosis, the prescribed enteral feeding regimen, and any other relevant information supporting the need for enteral feeding via syringe. Proper coding and documentation are essential for accurate billing and reimbursement.

6. Historical Information and Code Maintenance

HCPCS code B9000 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 stay updated with any changes or revisions to the code, as well as any updates in coding guidelines or regulations.

7. Medicare and Insurance Coverage

HCPCS code B9000 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 insurance provider to ensure proper billing and reimbursement.

8. Examples

Here are five examples of when HCPCS code B9000 should be billed:

1. A patient with a medical condition that prevents them from consuming food orally and requires enteral feeding via syringe.
2. A patient undergoing a surgical procedure that requires temporary enteral feeding via syringe.
3. A patient with a chronic illness that necessitates long-term enteral feeding via syringe.
4. A patient with a neurological disorder that affects their ability to swallow and requires enteral feeding via syringe.
5. A patient receiving palliative care who is unable to eat or drink and requires enteral feeding via syringe for nutrition and hydration.