Summary & Overview
HCPCS B4035: Enteral Feeding Supply Kit, Pump-Fed, Per Day
HCPCS Level II code B4035 identifies a daily enteral feeding supply kit for patients receiving pump-fed enteral nutrition. The code covers a bundled set of disposables such as feeding/flushing syringes, administration tubing, dressings and tape, billed on a per-day basis. Nationally, this code is relevant to home health providers, durable medical equipment suppliers, and payers that cover enteral nutrition supplies for patients who require pump-assisted feeding.
Key payers in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of coverage considerations across major national payers, common billing modifiers associated with HCPCS Level II supplies, and the clinical context for use of pump-fed enteral supplies. The publication outlines typical sites of service and the service type associated with the code to aid billing and coding staff in accurate claim submission.
The report provides benchmarks where available, notes recent policy clarifications affecting coverage and documentation, and summarizes operational implications for supply management and billing workflows. Data not available in the input is identified explicitly in relevant sections.
Billing Code Overview
HCPCS Level II code B4035 describes an enteral feeding supply kit, pump fed, billed per day. The kit includes but is not limited to a feeding/flushing syringe, administration set tubing, dressings, and tape. This code represents the daily supply bundle used to support patients receiving enteral nutrition via an enteral feeding pump.
Service type: Enteral nutrition supply kit, pump-fed, per day
Typical site of service: Home health or outpatient infusion/home infusion setting, where patients receive pump-assisted enteral feeding and require daily disposable supplies.
Clinical & Coding Specifications
Clinical Context
A typical patient receiving an enteral feeding supply kit B4035 is a medically stable adult or pediatric patient who requires continuous or scheduled pump-assisted tube feeding at home or in a long-term care facility. Example scenario: a 68-year-old stroke survivor with dysphagia discharged from an acute hospital to home with a gastrostomy feeding tube (G-tube) and a prescription for continuous pump-fed nutrition. Home health nurse coordinates equipment delivery and teaches the patient and caregiver how to use the enteral feeding pump, connect the administration set tubing, flush the tubing with a feeding/flushing syringe, and maintain the stoma site using supplied dressings and tape.
Clinical workflow:
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Patient is assessed in hospital or clinic; enteral nutrition prescribed by a physician or advanced practice provider.
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Durable medical equipment (DME) vendor receives prescription for enteral pump supplies and dispenses daily pump-fed supply kits (
B4035) along with the pump (if not already provided). -
Home health nurse or trained caregiver receives education on pump operation, tubing changes, syringe flushing technique, dressing changes, and infection prevention.
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Supplies are delivered on a per-day basis; multidisciplinary follow-up includes monitoring tube function, tolerance of feeds, and need for supply adjustments or additional clinical interventions.