B HCPCS Codes | Med Reference

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Procedure

Description

Procedure: Gastro/jejuno tube, std
Description: Gastrostomy/jejunostomy tube, standard, any material, any type, each

B4087

Procedure: Gastro/jejuno tube, low-pro
Description: Gastrostomy/jejunostomy tube, low-profile, any material, any type, each

B4088

Procedure: Food thickener oral
Description: Food thickener, administered orally, per ounce

B4100

Procedure: Ef adult fluids and electro
Description: Enteral formula, for adults, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit

B4102

Procedure: Ef ped fluid and electrolyte
Description: Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit

B4103

Procedure: Additive for enteral formula
Description: Additive for enteral formula (e.g., fiber)

B4104

Procedure: Enzyme cartridge enteral nut
Description: In-line cartridge containing digestive enzyme(s) for enteral feeding, each

B4105

Procedure: Ef blenderized foods
Description: Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit

B4149

Procedure: Ef complet w/intact nutrient
Description: Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit

B4150

Procedure: Ef calorie dense>/=1.5kcal
Description: Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit

B4152

Procedure: Ef hydrolyzed/amino acids
Description: Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit

B4153

Procedure: Ef spec metabolic noninherit
Description: Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit

B4154

Procedure: Ef incomplete/modular
Description: Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit

B4155

Procedure: Ef special metabolic inherit
Description: Enteral formula, nutritionally complete, for special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit

B4157

Procedure: Ef ped complete intact nut
Description: Enteral formula, for pediatrics, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit

B4158

Procedure: Ef ped complete soy based
Description: Enteral formula, for pediatrics, nutritionally complete soy based with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit

B4159

Procedure: Ef ped caloric dense>/=0.7kc
Description: Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit

B4160

Procedure: Ef ped hydrolyzed/amino acid
Description: Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit

B4161

Procedure: Ef ped specmetabolic inherit
Description: Enteral formula, for pediatrics, special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit

B4162

Procedure: Parenteral 50% dextrose solu
Description: Parenteral nutrition solution: carbohydrates (dextrose), 50% or less (500 ml = 1 unit) - home mix

B4164

Procedure: Parenteral sol amino acid 3.
Description: Parenteral nutrition solution; amino acid, 3.5%, (500 ml = 1 unit) - home mix

B4168

Procedure: Parenteral sol amino acid 5.
Description: Parenteral nutrition solution; amino acid, 5.5% through 7%, (500 ml = 1 unit) - home mix

B4172

Procedure: Parenteral sol amino acid 7-
Description: Parenteral nutrition solution; amino acid, 7% through 8.5%, (500 ml = 1 unit) - home mix

B4176

Procedure: Parenteral sol amino acid >
Description: Parenteral nutrition solution: amino acid, greater than 8.5% (500 ml = 1 unit) - home mix

B4178

Procedure: Parenteral sol carb > 50%
Description: Parenteral nutrition solution; carbohydrates (dextrose), greater than 50% (500 ml = 1 unit) - home mix

B4180

Procedure: Parenteral sol 10 gm lipids
Description: Parenteral nutrition solution, per 10 grams lipids

B4185

Procedure: Parenteral sol amino acid &
Description: Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix

B4189

Procedure: Parenteral sol 52-73 gm prot
Description: Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix

B4193

Procedure: Parenteral sol 74-100 gm pro
Description: Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix

B4197

Procedure: Parenteral sol > 100gm prote
Description: Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix

B4199

Procedure: Parenteral nutrition additiv
Description: Parenteral nutrition; additives (vitamins, trace elements, heparin, electrolytes), home mix, per day

B4216

Procedure: Parenteral supply kit premix
Description: Parenteral nutrition supply kit; premix, per day

B4220

Procedure: Parenteral supply kit homemi
Description: Parenteral nutrition supply kit; home mix, per day

B4222

Procedure: Parenteral administration ki
Description: Parenteral nutrition administration kit, per day

B4224

Procedure: Parenteral sol renal-amirosy
Description: Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, renal-aminosyn-rf, nephramine, renamine-premix

B5000

Procedure: Parenteral solution hepatic
Description: Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, hepatic, hepatamine-premix

B5100

Procedure: Parenteral sol hepatic fream
Description: Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, stress-branch chain amino acids-freamine-hbc-premix

B5200

Procedure: Enteral supp not otherwise c
Description: Noc for enteral supplies

B9998

Procedure: Parenteral supp not othrws c
Description: Noc for parenteral supplies

B9999

Procedure: Enter infusion pump w/o alrm
Description: Enteral nutrition infusion pump - without alarm

B9000

Procedure: Enter nutr inf pump any type
Description: Enteral nutrition infusion pump, any type

B9002

Procedure: Parenteral infus pump portab
Description: Parenteral nutrition infusion pump, portable

B9004

Procedure: Parenteral infus pump statio
Description: Parenteral nutrition infusion pump, stationary

B9006

Procedure: Item w pen services
Description: Item furnished in conjunction with parenteral enteral nutrition (pen) services

Procedure: Spec acquisition blood prods
Description: Special acquisition of blood and blood products

Procedure: Nutrition oral admin no tube
Description: Orally administered nutrition, not by feeding tube

Procedure: Bene electd to purchase item
Description: The beneficiary has been informed of the purchase and rental options and has elected to purchase the item

Procedure: Bene elected to rent item
Description: The beneficiary has been informed of the purchase and rental options and has elected to rent the item

Procedure: Bene undecided on purch/rent
Description: The beneficiary has been informed of the purchase and rental options and after 30 days has not informed the supplier of his/her decision