Question 1

What is HCPCS code B4189?

Accepted Answer

HCPCS code B4189 is "Parenteral sol amino acid &". 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

Question 2

What category is B4189 in?

Accepted Answer

B4189 belongs to HCPCS Category B (Enteral and Parenteral Therapy).

Question 3

When should I use HCPCS code B4189?

Accepted Answer

Use B4189 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 B4189 covered by Medicare?

Accepted Answer

Coverage for B4189 (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 B4189?

Accepted Answer

Documentation for B4189 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).