How To Use HCPCS Code B9004

HCPCS code B9004 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 in enteral nutrition. In this article, we will explore the details of HCPCS code B9004, including its official description, procedure, when to use it, billing guidelines, historical information, Medicare and insurance coverage, and provide examples of when this code should be billed.

1. What is HCPCS B9004?

HCPCS code B9004 is used to identify the enteral feeding supply kit for syringe feeding, per day. This code encompasses various components such as feeding/flushing syringe, administration set tubing, dressings, and tape. It is important to note that this code is specific to syringe feeding and should not be used for other methods of enteral nutrition delivery.

2. Official Description

The official description of HCPCS code B9004 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 infus pump portab.”

3. Procedure

1. Prepare the enteral feeding supply kit, ensuring that it includes all the necessary components such as feeding/flushing syringe, administration set tubing, dressings, and tape.
2. Verify the patient’s enteral feeding prescription and ensure that syringe feeding is the appropriate method of enteral nutrition delivery.
3. Administer the enteral feeding using the syringe and follow the prescribed feeding schedule.
4. Monitor the patient’s response to the enteral feeding and make any necessary adjustments to the feeding regimen.
5. Document the administration of the enteral feeding supply kit in the patient’s medical record.

4. When to use HCPCS code B9004

HCPCS code B9004 should be used when providing enteral nutrition through syringe feeding. It is important to ensure that syringe feeding is the appropriate method of enteral nutrition delivery for the patient. This code should not be used for other methods such as gravity feeding or pump-assisted feeding.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code B9004, healthcare providers need to document the administration of the enteral feeding supply kit, including the date and time of administration, the components used, and the patient’s response to the feeding. It is also important to include the patient’s enteral feeding prescription in the documentation. The billing should be done according to the guidelines set by the payer, ensuring that all necessary information is included for accurate reimbursement.

6. Historical Information and Code Maintenance

HCPCS code B9004 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 in order to ensure accurate coding and billing.

7. Medicare and Insurance Coverage

HCPCS code B9004 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 the coverage and reimbursement policies of individual payers to ensure proper billing and reimbursement.

8. Examples

Here are five examples of when HCPCS code B9004 should be billed:

1. A patient with a medical condition that prevents them from consuming food orally requires enteral nutrition through syringe feeding. The enteral feeding supply kit, including the necessary components, is provided and documented.
2. A healthcare provider administers enteral nutrition to a patient through syringe feeding during a hospital stay. The enteral feeding supply kit is used, and the administration is documented in the patient’s medical record.
3. A home healthcare nurse visits a patient who requires enteral nutrition through syringe feeding. The nurse brings the enteral feeding supply kit and administers the feeding, documenting the details of the administration.
4. A patient is discharged from the hospital with a prescription for enteral nutrition through syringe feeding. The patient’s caregiver is trained on how to use the enteral feeding supply kit, and the administration is documented.
5. A patient with a chronic illness requires long-term enteral nutrition through syringe feeding. The enteral feeding supply kit is provided on a regular basis, and the administration is documented during each visit.