How To Use HCPCS Code B9998

HCPCS code B9998 describes the enteral feeding supply kit for syringe feeding, per day. This code includes items such as feeding/flushing syringe, administration set tubing, dressings, and tape. It falls under the category of enteral supplies not otherwise classified. In this article, we will explore the details of HCPCS code B9998, including its official description, procedure, usage guidelines, billing requirements, historical information, and coverage by Medicare and insurance providers.

1. What is HCPCS B9998?

HCPCS code B9998 is used to identify the enteral feeding supply kit for syringe feeding, per day. It encompasses various components necessary for enteral feeding, such as syringes, administration set tubing, dressings, and tape. This code is specifically designed for syringe-fed enteral feeding and is not applicable to other methods of enteral feeding.

2. Official Description

The official description of HCPCS code B9998 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 “Enteral supp not otherwise c.”

3. Procedure

1. Prepare the enteral feeding supply kit, ensuring that it includes a feeding/flushing syringe, administration set tubing, dressings, and tape.
2. Verify the patient’s enteral feeding requirements and confirm that syringe feeding is the appropriate method.
3. Administer the enteral feeding using the provided syringe and administration set tubing.
4. Monitor the patient during the feeding process to ensure proper delivery 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 B9998

HCPCS code B9998 should be used when providing enteral feeding supplies for syringe feeding on a daily basis. It is important to ensure that the patient’s enteral feeding method aligns with syringe feeding and that the supplies included in the kit are appropriate for this method. This code should not be used for other types of enteral feeding or for supplies not included in the official description.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code B9998, healthcare providers need to document the medical necessity of enteral feeding and the specific need for syringe feeding. The medical record should include details of the patient’s condition, the prescribed enteral feeding method, and any relevant supporting documentation. Additionally, providers should ensure that the enteral feeding supply kit includes all the components mentioned in the official description. Proper documentation and accurate billing are essential for reimbursement.

6. Historical Information and Code Maintenance

HCPCS code B9998 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has been in use since then without any maintenance actions taken, as indicated by the action code N. This code has remained unchanged since its addition, reflecting its continued relevance in the healthcare industry.

7. Medicare and Insurance Coverage

HCPCS code B9998 is eligible for coverage by Medicare and other insurance providers. The pricing indicator code for this code is 57, which indicates that it is priced by carriers using other methodologies. The multiple pricing indicator code is A, indicating that it is not applicable as HCPCS priced under one methodology. Providers should refer to the Medicare Carriers Manual Reference Section Number 2130 for specific guidelines on reimbursement and coverage for enteral feeding supply kits.

8. Examples

Here are some examples of scenarios where HCPCS code B9998 would be appropriate:

1. A patient with a medical condition requiring enteral feeding via syringe on a daily basis.
2. A healthcare facility providing enteral feeding supplies for a patient undergoing syringe feeding during their hospital stay.
3. A home healthcare provider delivering enteral feeding supplies to a patient’s residence for daily syringe feeding.
4. A long-term care facility including enteral feeding supply kits in their daily care plan for residents who require syringe feeding.
5. A hospice agency providing enteral feeding supplies to a patient receiving end-of-life care and requiring syringe feeding.