Question 1

What is HCPCS code B4178?

Accepted Answer

HCPCS code B4178 is "Parenteral sol amino acid >". Parenteral nutrition solution: amino acid, greater than 8.5% (500 ml = 1 unit) - home mix

Question 2

What category is B4178 in?

Accepted Answer

B4178 belongs to HCPCS Category B (Enteral and Parenteral Therapy).

Question 3

When should I use HCPCS code B4178?

Accepted Answer

Use B4178 when billing for parenteral sol amino acid >. 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 B4178 covered by Medicare?

Accepted Answer

Coverage for B4178 (Parenteral sol amino acid >) 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 B4178?

Accepted Answer

Documentation for B4178 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).