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    OpenPayerBilling CodesEnteral and Parenteral TherapyHCPCS hcpcs-b4036-enteral-feeding-supply-kit-gravity-fed-daily
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    HCPCS Level II B4036: Enteral Feeding Supply Kit, Gravity-Fed, Per Day

    HCPCS Level II code B4036 describes an enteral feeding supply kit for gravity-fed administration billed per day, including items such as a feeding/flushing syringe, administration set tubing, dressings, and tape; service type is enteral nutrition supply kit and the typical site of service is home or other outpatient settings where patients receive tube feeding support.

    For related coverage guidance, see recent payer policy updates: Percutaneous Electrical Nerve Field Stimulation for Functional Abdominal Pain Disorders, Esophagogastroduodenoscopy (EGD) Coverage Policy, Radiofrequency Therapy for Fecal Incontinence.

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    Clinical & Coding Specifications

    Clinical Context

    A typical patient is an adult or pediatric patient requiring ongoing enteral nutrition due to an inability to safely take adequate oral intake. The patient has an established enteral access device (nasogastric tube, gastrostomy, or jejunostomy) and receives home enteral nutrition managed by a home health agency, skilled nursing facility, or outpatient infusion/enteral therapy service. The enteral feeding supply kit B4036 is dispensed on a per-day basis to support gravity-fed bolus or continuous feeding and includes items such as a feeding/flushing syringe, administration tubing, dressings, and tape.

    Clinical workflow: after a prescriber orders home enteral nutrition and the necessary supplies, a durable medical equipment (DME) or home infusion supplier coordinates delivery. A nurse or trained caregiver primes and connects the gravity administration set to the existing feeding tube, performs routine site care with dressings and tape as needed, and uses the syringe for medication administration or flushing. Documentation includes the prescriber order, patient tolerance of feeds, daily supply dispensed (documented as B4036 per day), and any education provided to the caregiver regarding tubing changes, infection signs, and troubleshooting.

    Related CPT Codes

    CPT CodeDescriptionRelationship to This Procedure
    49440Insertion of gastrostomy tube, percutaneous, without image guidance; initial placementPerformed when establishing long-term enteral access before dispensing daily gravity-fed supply kits like B4036.
    43246Endoscopic gastrostomy, percutaneous, with or without dilationEndoscopic method to place a gastrostomy tube prior to home enteral supply needs.
    43760Revision or replacement, gastrostomy tube; without general anesthesiaPerformed when a gastrostomy tube requires replacement, after which new daily supplies are dispensed.
    49422Exchange of gastrostomy/jejunostomy tube, through existing stomaRoutine outpatient procedure that may trigger issuance of new supply kits following exchange.
    96372Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscularRelated for documentation when medication is administered enterally via syringe included in the kit (note: 96372 is for injections; enteral medication administration is not billed with this code but nursing documentation may reference medication administration).

    Related Modifiers

    8 rows

    ModifierDescriptionWhen to Use
    26Modifier 26 (Professional Component) identifies and bills only the professional portion of a split service — the physician’s interpretation, report, and medical judgment — when the technical…- Use CPT Modifier -26 when you are billing only the professional component (PC) of a split‑bill eligible service—i.e., you performed the physician interpretation, medical judgment and prepared a…
    52Modifier ‑52 (Reduced Services) indicates that a service or procedure was partially reduced or omitted at the provider’s discretion, allowing reporting of the basic procedure number with a qualifier…- Use modifier -52 when a physician or qualified health professional electively reduces or omits part of a procedure or service (for example, performing fewer required views or omitting a portion of…
    53Modifier 53 (Discontinued Procedure) signals that a surgical or diagnostic service was begun by the physician but terminated because of extenuating circumstances that threatened the patient’s…- Use modifier -53 when a physician/qualified healthcare professional has started a surgical or diagnostic procedure (e.g., anesthesia administered, incision or scope insertion) and then discontinues…
    54Modifier ‑54 (“Surgical care only”) is appended to a CPT surgical procedure when the reporting surgeon performs the intraoperative (surgical) component but does not furnish the preoperative and/or…- Use modifier -54 when the reporting surgeon provided only the intraoperative (surgical) component of a procedure and preoperative and/or postoperative management has been or will be provided by…
    55Modifier –55 indicates the billing provider furnished only postoperative management for a procedure that has a global surgical period. According to AAPC, this modifier is appended to the same CPT…- Use modifier -55 when billing the same CPT surgical code that has a 10- or 90-day global period and you, as a provider other than the original surgeon, furnished ONLY postoperative management (no…
    62Modifier 62 indicates that two surgeons function as co‑surgeons, each performing distinct parts of the same primary surgical procedure. It is appended to the primary procedure code (and any…- Use modifier -62 when two surgeons act as co‑surgeons (both primary surgeons) on a single definitive primary procedure, each performing distinct parts of the same surgical procedure (append -62 to…
    78CPT modifier -78 indicates an unplanned, related return to the operating or procedure room by the same provider during the global postoperative period. It is appended when treatment for a…- Use modifier -78 when an unplanned, related complication during the original procedure’s global postoperative period requires the patient to return to a formal operating or procedure room and the…
    80CPT® Modifier 80 (Assistant Surgeon) is appended to a surgical CPT code when a physician (MD or DO) provides full, continuous assistance throughout the operative procedure. It is intended only for…- Use CPT Modifier -80 when a physician (MD or DO) serves as an assistant surgeon and provides full, continuous assistance throughout the entire operative procedure; append -80 to the surgical CPT…

    Related Provider Taxonomies

    8 rows

    Taxonomy Code
    208000000X
    261QP1100X
    251K00000X
    2080P0008X
    207RG0300X
    174H00000X
    175L00000X
    2084V0102X

    Related ICD-10-CM Codes

    26 rows

    ICD-10-CM CodeDescription
    A09Infectious gastroenteritis and colitis, unspecified
    C25.9Malignant neoplasm of pancreas, unspecified
    E11.40Type 2 diabetes mellitus with diabetic neuropathy, unspecified
    E43Unspecified severe protein-calorie malnutrition
    E46Unspecified protein-calorie malnutrition
    E86.0Dehydration
    F50.9Eating disorder, unspecified
    G31.84Mild cognitive impairment of uncertain or unknown etiology
    J96.00Acute respiratory failure, unspecified whether with hypoxia or hypercapnia
    K21.9Gastro-esophageal reflux disease without esophagitis

    Showing 1–10 of 26

    Related Payer Policy Updates

    Specialty: Gastroenterology1 / 2

    10 rows

    PolicyPayerEffective Date
    Percutaneous Electrical Nerve Field Stimulation for Functional Abdominal Pain Disordersbcbsvermont2026-12-01
    Esophagogastroduodenoscopy (EGD) Coverage Policyevicore2026-11-05
    Radiofrequency Therapy for Fecal IncontinenceCigna2026-10-15
    Magnetic Sphincter Augmentation for the Treatment of Gastroesophageal Reflux Disease (GERD)univerahealthcare2026-10-15
    High-Resolution Anoscopy (HRA)Premera Bluecross2026-10-01
    Gastroesophageal and Gastrointestinal (GI) Services and ProceduresColorado Rocky Mountain Health Plans2026-10-01
    Serum Testing for Hepatic Fibrosis in the Evaluation and Monitoring of Chronic Liver DiseaseOscar Health2026-10-01
    Fecal Analysis in the Diagnosis of Intestinal Dysbiosis and Fecal Microbiota Transplant TestingOscar Health2026-10-01
    Pancreatic Enzyme Testing for Acute PancreatitisOscar Health2026-10-01
    Helicobacter pylori TestingOscar Health2026-10-01

    Related Codes

    HCPCS-B4034-ENTERAL-FEEDING-SYRINGE-FED-DAILY-KIT

    HCPCS Level II B4034: Enteral Feeding Supply Kit, Syringe-Fed Per Day

    HCPCS-B4035-ENTERAL-FEEDING-SUPPLY-KIT-PUMP-FED-PER-DAY

    HCPCS Level II B4035: Enteral Feeding Supply Kit, Pump-Fed, Per Day

    HCPCS-B4081-NASOGASTRIC-TUBING-WITH-STYLET

    HCPCS Level II B4081: Nasogastric Tubing With Stylet

    HCPCS-B4082-NASOGASTRIC-TUBING-WITHOUT-STYLET

    HCPCS Level II B4082: Nasogastric Tubing Without Stylet

    HCPCS-B4083-LEVINE-STOMACH-TUBE-NASOGASTRIC-SUPPLY

    HCPCS Level II B4083: Levine Stomach Tube

    HCPCS-B4087-GASTROSTOMY-JEJUNOSTOMY-TUBE-STANDARD

    HCPCS Level II B4087: Gastrostomy/Jejunostomy Feeding Tube, Standard

    HCPCS-B4088-LOW-PROFILE-GASTROSTOMY-JEJUNOSTOMY-TUBE

    HCPCS Level II B4088: Low-Profile Gastrostomy/Jejunostomy Tube

    HCPCS-B4100-FOOD-THICKENER-ORAL-PER-OUNCE

    HCPCS Level II B4100: Food Thickener, Oral, Per Ounce

    HCPCS-B4102-ENTERAL-FLUID-ELECTROLYTE-REPLACEMENT-FORMULA-ADULT

    HCPCS Level II B4102: Enteral Formula for Fluid and Electrolyte Replacement

    HCPCS-B4103-PEDIATRIC-ENTERAL-FLUID-REPLACEMENT

    HCPCS Level II B4103: Pediatric Enteral Formula for Fluid/Electrolyte Replacement

    Showing 1–10 of 50

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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