How To Use HCPCS Code B9999

HCPCS code B9999 describes the 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 supplies not otherwise classified. In this article, we will explore the details of HCPCS code B9999, including its official description, procedure, usage guidelines, billing requirements, historical information, and coverage by Medicare and insurance providers.

1. What is HCPCS B9999?

HCPCS code B9999 is used to identify the enteral feeding supply kit for syringe feeding, per day. It encompasses all the necessary components required for enteral feeding, including the feeding/flushing syringe, administration set tubing, dressings, and tape. This code is specific to syringe feeding and is not applicable to other methods of enteral feeding.

2. Official Description

The official description of HCPCS code B9999 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 supplies not otherwise classified.”

3. Procedure

1. Prepare the enteral feeding supply kit, ensuring that all the necessary components are included.
2. Connect the feeding/flushing syringe to the administration set tubing.
3. Secure the administration set tubing to the patient’s feeding tube.
4. Dress the insertion site with appropriate dressings and secure them with tape.
5. Ensure proper functioning of the syringe and administration set tubing.
6. Administer the enteral feeding solution as per the patient’s prescribed schedule.
7. Monitor the patient during the feeding process and make any necessary adjustments.
8. Flush the feeding tube with the flushing syringe as required.
9. Document the procedure and any relevant observations or complications.

4. When to use HCPCS code B9999

HCPCS code B9999 should be used when providing enteral feeding supplies for syringe feeding on a daily basis. It is important to ensure that the patient meets the eligibility criteria for enteral feeding and that syringe feeding is the appropriate method for their specific needs. This code should not be used for other types of enteral feeding or for non-feeding-related supplies.

5. Billing Guidelines and Documentation Requirements

When billing for HCPCS code B9999, healthcare providers should ensure that all the necessary documentation is in place. This includes documenting the medical necessity of enteral feeding, the specific components provided in the supply kit, and the frequency of syringe feeding per day. It is important to follow the billing guidelines set by the payer, including any specific modifiers or additional documentation requirements.

6. Historical Information and Code Maintenance

HCPCS code B9999 was added to the Healthcare Common Procedure Coding System on January 01, 1985. It has an effective date of January 01, 1996. There have been no maintenance actions taken for this code, as indicated by the action code N, which means no maintenance for this code. This code has remained unchanged since its addition to the HCPCS.

7. Medicare and Insurance Coverage

HCPCS code B9999 is eligible for coverage under Medicare and other insurance providers. The pricing indicator code for this code is 57, which indicates that it is priced by other carriers. The multiple pricing indicator code is A, which means 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 coverage and reimbursement.

8. Examples

Here are some examples of scenarios where HCPCS code B9999 should be billed:

1. A patient requires enteral feeding through syringe feeding due to a medical condition that prevents oral intake. The provider supplies the necessary enteral feeding kit for daily use.
2. A home healthcare agency provides enteral feeding supplies to a patient who is unable to visit a healthcare facility for their feeding needs. The supplies include the feeding/flushing syringe, administration set tubing, dressings, and tape.
3. A hospital provides enteral feeding supplies to a patient during their hospital stay. The supplies are used for syringe feeding as per the prescribed feeding schedule.
4. A skilled nursing facility supplies enteral feeding kits to its residents who require syringe feeding. The kits include all the necessary components for daily enteral feeding.
5. A healthcare provider supplies enteral feeding kits to a patient with a chronic illness who requires long-term enteral nutrition support through syringe feeding.