Summary & Overview
HCPCS B4148: Enteral Feeding Supply Kit for Elastomeric Control-Fed Systems, Per Day
HCPCS Level II code B4148 identifies a daily enteral feeding supply kit designed for elastomeric control-fed systems, covering items such as a feeding/flushing syringe, administration tubing, dressings, and tape. This code is relevant nationally for home infusion, home health, and outpatient enteral nutrition services because it captures routine disposable supplies needed to support safe, continuous enteral delivery using elastomeric reservoirs. Payers commonly covering enteral supplies include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
Readers will learn what B4148 represents clinically and operationally, the typical sites of service, and the role of this code in billing for enteral nutrition supply delivery. The publication provides benchmarks and coverage considerations relevant to payers listed, summarizes policy and coding context affecting supply reimbursement, and outlines the clinical scenarios in which elastomeric enteral kits are used. Data not available in the input will be identified where applicable. This summary is intended for billing professionals, clinical program managers, and policy analysts seeking a concise national overview of the code's purpose and common applications.
Billing Code Overview
HCPCS Level II code B4148 describes an enteral feeding supply kit intended for elastomeric control-fed delivery, billed per day. The kit includes, but is not limited to, a feeding/flushing syringe, administration set tubing, dressings, and tape.
Service type: Enteral nutrition supply kit for elastomeric infusion systems
Typical site of service: Home health or outpatient/home infusion settings where patients receive enteral nutrition via elastomeric devices
Clinical & Coding Specifications
Clinical Context
A 68-year-old adult with advanced dysphagia secondary to stroke and progressive oropharyngeal dysfunction requires continuous enteral nutrition via a gastrostomy tube. The patient is discharged from the hospital to home with an elastomeric enteral infusion device for medication and bolus-like continuous supplementary feeding. A home health nurse or trained caregiver receives instruction on device preparation, connection to the existing gastrostomy tube, daily dressing changes at the insertion site, and flushing protocols. The elastomeric device is replaced every 24 hours; supplies included in the per-day kit are a feeding/flushing syringe, administration set tubing, dressings, and tape. Clinical workflow includes physician order for home enteral nutrition, documentation of tube type and size, verification of supply needs in the home health plan of care, billing the supplier or home health agency with B4148 per day, and routine nursing follow-up for site assessment and tolerance of feeds.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | No modifier specified by payer | Default when no other modifier applies |
22 |