Question 1

What is HCPCS code B4036?

Accepted Answer

HCPCS code B4036 is "Enteral feed sup kit grav by". Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape

Question 2

What category is B4036 in?

Accepted Answer

B4036 belongs to HCPCS Category B (Enteral and Parenteral Therapy).

Question 3

When should I use HCPCS code B4036?

Accepted Answer

Use B4036 when billing for enteral feed sup kit grav by. HCPCS Level II codes like this are used for items and services not covered by CPT codes, including medical supplies, equipment, drugs administered in clinical settings, and certain healthcare services.

Question 4

Is B4036 covered by Medicare?

Accepted Answer

Coverage for B4036 (Enteral feed sup kit grav by) depends on medical necessity and specific Medicare guidelines. Check the applicable Local Coverage Determination (LCD) or National Coverage Determination (NCD) for detailed coverage criteria. Private insurers may have different coverage policies.

Question 5

What documentation is required for B4036?

Accepted Answer

Documentation for B4036 should include: the medical necessity for the item or service, supporting diagnosis codes (ICD-10), prescription or order from the treating physician, and proof that the item meets quality standards. Some items may require additional documentation like a Certificate of Medical Necessity (CMN).