HCPCS Codes - Medical Procedures, Supplies & DME Codes - b4 Codes
HCPCS Procedure, Supply & DME (Durable Medical Equipment) Codes ("b4" Codes):- B4034 enteral feeding supply kit syringe per HCPCS Code Code
- B4035 enteral feeding supply kit pump fed HCPCS Code Code
- B4036 enteral feeding supply kit gravity fed HCPCS Code Code
- B4081 nasogastric tubing stylet HCPCS Code Code
- B4082 nasogastric tubing stylet HCPCS Code Code
- B4083 stomach tube levine type HCPCS Code Code
- B4086 gastrostomy jejunostomy tube any material HCPCS Code Code
- B4087 Gastro/jejuno tube, std HCPCS Code Code
- B4088 Gastro/jejuno tube, low-pro HCPCS Code Code
- B4100 food thickener administered orally per ounce HCPCS Code Code
- B4102 enteral formula adults used replace fluids HCPCS Code Code
- B4103 enteral formula pediatrics used replace fluids HCPCS Code Code
- B4104 additive enteral formula eg fiber HCPCS Code Code
- B4105 In-line cartridge containing digestive enzyme(s) for enteral feeding, each HCPCS Code Code
- B4148 Enteral feeding supply kit; elastomeric control fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, d Code
- B4149 enteral formula manufactured blenderized natural foods HCPCS Code Code
- B4150 enteral formula nutritionally complete intact nutrients HCPCS Code Code
- B4151 ENTERAL FORMULAE CAT1NATURAL HCPCS Code Code
- B4152 enteral formula nutritionally complete calorically dense HCPCS Code Code
- B4153 enteral formula nutritionally complete hydrolyzed proteins HCPCS Code Code
- B4154 enteral formula nutritionally complete special metabolic HCPCS Code Code
- B4155 enteral formula nutritionally incompletemodular nutrients includes HCPCS Code Code
- B4156 ENTERAL FORMULAE CATEGORY VI HCPCS Code Code
- B4157 enteral formula nutritionally complete special metabolic HCPCS Code Code
- B4158 enteral formula pediatrics nutritionally complete intact HCPCS Code Code
- B4159 enteral formula pediatrics nutritionally complete soy HCPCS Code Code
- B4160 enteral formula pediatrics nutritionally complete calorically HCPCS Code Code
- B4161 enteral formula pediatrics hydrolyzedamino acids peptide HCPCS Code Code
- B4162 enteral formula pediatrics special metabolic needs HCPCS Code Code
- B4164 parenteral nutrition solution carbohydrates dextrose HCPCS Code Code
- B4168 parenteral nutrition solution amino acid 35 HCPCS Code Code
- B4172 parenteral nutrition solution amino acid 55 HCPCS Code Code
- B4176 parenteral nutrition solution amino acid 7 HCPCS Code Code
- B4178 parenteral nutrition solution amino acid greater HCPCS Code Code
- B4180 parenteral nutrition solution carbohydrates dextrose greater HCPCS Code Code
- B4184 PARENTERAL SOL LIPIDS 10% HCPCS Code Code
- B4185 parenteral nutrition solution per 10 grams HCPCS Code Code
- B4186 PARENTERAL SOL LIPIDS 20% HCPCS Code Code
- B4187 Omegaven, 10 grams lipids HCPCS Code Code
- B4189 parenteral nutrition solution compounded amino acid HCPCS Code Code
- B4193 parenteral nutrition solution compounded amino acid HCPCS Code Code
- B4197 parenteral nutrition solution compounded amino acid HCPCS Code Code
- B4199 parenteral nutrition solution compounded amino acid HCPCS Code Code
- B4216 parenteral nutrition additives vitamins trace elements HCPCS Code Code
- B4220 parenteral nutrition supply kit premix per HCPCS Code Code
- B4222 parenteral nutrition supply kit home mix HCPCS Code Code
- B4224 parenteral nutrition administration kit per day HCPCS Code Code
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HCPCS Medical Codes & Code Modifiers
(HCPCS is commonly pronounced Hick-Picks.)Each year, in the United States, health care insurers process over 5 billion claims for payment. For Medicare and other health insurance programs to ensure that these claims are processed in an orderly and consistent manner, standardized coding systems are essential. The HCPCS Level II Code Set is one of the standard code sets used for this purpose. The HCPCS is divided into two principal subsystems, referred to as level I and level II of the HCPCS. Level I of the HCPCS is comprised of CPT (Current Procedural Terminology), a numeric coding system maintained by the American Medical Association (AMA). The CPT is a uniform coding system consisting of descriptive terms and identifying codes that are used primarily to identify medical services and procedures furnished by physicians and other health care professionals. These health care professionals use the CPT to identify services and procedures for which they bill public or private health insurance programs. Decisions regarding the addition, deletion, or revision of CPT codes are made by the AMA. The CPT codes are republished and updated annually by the AMA. Level I of the HCPCS, the CPT codes, does not include codes needed to separately report medical items or services that are regularly billed by suppliers other than physicians.
Level II of the HCPCS is a standardized coding system that is used primarily to identify products, supplies, and services not included in the CPT codes, such as ambulance services and durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) when used outside a physician's office. Because Medicare and other insurers cover a variety of services, supplies, and equipment that are not identified by CPT codes, the level II HCPCS codes were established for submitting claims for these items. The development and use of level II of the HCPCS began in the 1980's. Level II codes are also referred to as alpha-numeric codes because they consist of a single alphabetical letter followed by 4 numeric digits, while CPT codes are identified using 5 numeric digits.
In October of 2003, the Secretary of HHS delegated authority under the HIPAA legislation to CMS to maintain and distribute HCPCS Level II Codes. As stated in 42 CFR Sec. 414.40 (a) CMS establishes uniform national definitions of services, codes to represent services, and payment modifiers to the codes. Within CMS there is a CMS HCPCS Workgroup which is an internal workgroup comprised of representatives of the major components of CMS, as well as other consultants from pertinent Federal agencies. Prior to December 31, 2003, Level III HCPCS were developed and used by Medicaid State agencies, Medicare contractors, and private insurers in their specific programs or local areas of jurisdiction. For purposes of Medicare, level III codes were also referred to as local codes. Local codes were established when an insurer preferred that suppliers use a local code to identify a service, for which there is no level I or level II code, rather than use a "miscellaneous or not otherwise classified code." The Health Insurance Portability and Accountability Act of 1996 (HIPAA) required CMS to adopt standards for coding systems that are used for reporting health care transactions. We published, in the Federal Register on August 17, 2000 (65 FR 50312), regulations to implement this part of the HIPAA legislation. These regulations provided for the elimination of level III local codes by October 2002, at which time, the level I and level II code sets could be used. The elimination of local codes was postponed, as a result of section 532(a) of BIPA, which continued the use of local codes through December 31, 2003.
(Source: http://www.cms.hhs.gov/MedHCPCSGenInfo/)
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