How To Use HCPCS Code B9006

HCPCS code B9006 describes the enteral feeding supply kit for syringe feeding, per day. This code is used to identify the specific supplies and equipment required for administering enteral nutrition through syringe feeding. In this article, we will explore the details of HCPCS code B9006, 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 B9006?

HCPCS code B9006 is used to identify the enteral feeding supply kit for syringe feeding, per day. This code represents the necessary supplies and equipment involved in administering enteral nutrition through syringe feeding. It includes items such as feeding/flushing syringe, administration set tubing, dressings, and tape. The code B9006 is specific to the syringe feeding method and is not applicable for other enteral feeding methods.

2. Official Description

The official description for HCPCS code B9006 is “Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape.” This description accurately represents the components included in the enteral feeding supply kit for syringe feeding.

3. Procedure

1. Ensure that the patient’s enteral nutrition plan includes syringe feeding as the chosen method of administration.
2. Gather the necessary supplies for syringe feeding, including a feeding/flushing syringe, administration set tubing, dressings, and tape.
3. Prepare the enteral formula according to the healthcare provider’s instructions.
4. Connect the administration set tubing to the feeding/flushing syringe and prime the tubing to remove any air bubbles.
5. Administer the enteral formula slowly and steadily through the syringe, following the prescribed feeding schedule.
6. Monitor the patient during the feeding process for any adverse reactions or complications.
7. After completing the syringe feeding, properly dispose of any used supplies and clean the equipment as per infection control guidelines.

4. When to use HCPCS code B9006

HCPCS code B9006 should be used when the healthcare provider administers enteral nutrition through syringe feeding. This code is specific to the syringe feeding method and should not be used for other enteral feeding methods, such as gravity feeding or pump-assisted feeding. It is important to ensure that the patient’s enteral nutrition plan specifies syringe feeding as the chosen method before using this code.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code B9006, healthcare providers need to document the following:

• Date of service
• Number of days the enteral feeding supply kit was provided
• Details of the supplies included in the kit, such as feeding/flushing syringe, administration set tubing, dressings, and tape
• Prescription or order for enteral nutrition
• Documentation supporting the medical necessity of syringe feeding

It is essential to accurately document and code the services provided to ensure proper reimbursement and compliance with coding guidelines.

6. Historical Information and Code Maintenance

HCPCS code B9006 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 has an effective date of January 01, 2002, and remains active in the HCPCS coding system.

7. Medicare and Insurance Coverage

HCPCS code B9006 falls under the pricing indicator code 39, which represents parenteral and enteral nutrition. This indicates that Medicare and other insurance providers cover the enteral feeding supply kit for syringe feeding. However, coverage may vary depending on the specific insurance plan and the medical necessity of the service. It is important to verify coverage with the insurance provider before providing the service.

8. Examples

Here are five examples of scenarios where HCPCS code B9006 should be billed:

1. A patient with dysphagia requires enteral nutrition through syringe feeding due to difficulty swallowing.
2. A patient with a feeding tube experiences a malfunction, and the healthcare provider temporarily switches to syringe feeding until the issue is resolved.
3. A patient with a gastrointestinal disorder requires enteral nutrition through syringe feeding as part of their treatment plan.
4. A patient undergoing a surgical procedure is unable to tolerate oral intake and requires enteral nutrition through syringe feeding during the recovery period.
5. A patient with a neurological condition requires enteral nutrition through syringe feeding as their primary source of nutrition.