Question 1

What is HCPCS code B4102?

Accepted Answer

HCPCS code B4102 is "Ef adult fluids and electro". Enteral formula, for adults, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit

Question 2

What category is B4102 in?

Accepted Answer

B4102 belongs to HCPCS Category B (Enteral and Parenteral Therapy).

Question 3

When should I use HCPCS code B4102?

Accepted Answer

Use B4102 when billing for ef adult fluids and electro. 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 B4102 covered by Medicare?

Accepted Answer

Coverage for B4102 (Ef adult fluids and electro) 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 B4102?

Accepted Answer

Documentation for B4102 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).