Question 1

What is HCPCS code B4105?

Accepted Answer

HCPCS code B4105 is "Enzyme cartridge enteral nut". In-line cartridge containing digestive enzyme(s) for enteral feeding, each

Question 2

What category is B4105 in?

Accepted Answer

B4105 belongs to HCPCS Category B (Enteral and Parenteral Therapy).

Question 3

When should I use HCPCS code B4105?

Accepted Answer

Use B4105 when billing for enzyme cartridge enteral nut. 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 B4105 covered by Medicare?

Accepted Answer

Coverage for B4105 (Enzyme cartridge enteral nut) 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 B4105?

Accepted Answer

Documentation for B4105 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).