Summary & Overview
HCPCS B4087: Gastrostomy/Jejunostomy Tube, Standard, Single
HCPCS Level II code B4087 denotes a standard gastrostomy or jejunostomy tube supplied for enteral feeding. This code is used nationally to bill for the device itself when provided singularly and is central to care for patients requiring long-term or short-term enteral nutrition access. Accurate use of B4087 ensures consistent reporting of durable medical equipment and supplies for feeding access and influences coverage determinations and device procurement.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of what B4087 represents clinically, typical sites of service where the device is supplied, and the common billing context for enteral feeding supplies. The publication summarizes payer coverage considerations, common modifiers used with this supply code, and common clinical scenarios driving use of gastrostomy and jejunostomy tubes.
The report provides benchmarks and policy context relevant to device billing, highlights national coverage patterns, and explains clinical circumstances associated with the code. Data not available in the input is explicitly noted where applicable.
Billing Code Overview
HCPCS Level II code B4087 describes a gastrostomy/jejunostomy tube, standard, any material, any type, each. The service represents the supply of a standard gastrostomy or jejunostomy feeding tube intended for enteral access.
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Service type: Enteral feeding supply
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Typical site of service: Hospital outpatient departments, ambulatory surgical centers, long-term care facilities, and home health settings where enteral feeding is managed
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult with chronic dysphagia from neurologic impairment who requires long-term enteral nutrition. The patient presents to the interventional radiology suite or operating room for placement of a gastrostomy/jejunostomy tube. Pre-procedure evaluation includes review of indications (inability to maintain oral intake, recurrent aspiration, or need for long-term enteral access), informed consent, review of coagulation status, and imaging as needed. Sedation or general anesthesia is provided per institutional protocol. The procedure involves placement of a B4087 standard gastrostomy/jejunostomy tube by percutaneous endoscopic gastrostomy (PEG) or radiologic technique; verification of intragastric/jejunal position is performed with contrast or imaging. Post-procedure workflow includes tube flushing and feeding protocol education for nursing and caregivers, documentation of tube type B4087 and serial number, and scheduling follow-up for site care, potential tube upsizing or replacement, and management of complications such as site infection, dislodgement, or leakage.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier; standard reporting | Use when no additional modifier applies to the service. |