Summary & Overview
HCPCS B9002: Enteral Nutrition Infusion Pump, Any Type
HCPCS Level II code B9002 denotes an enteral nutrition infusion pump, a durable medical device used to deliver tube-feeding formulations. Nationally, this code matters because enteral pumps are central to managing patients with prolonged feeding needs across home health, long-term care, and outpatient settings. Accurate coding affects coverage determinations, equipment rental/purchase decisions, and continuity of nutritional care for medically dependent patients.
Key payers discussed include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of coverage and billing considerations for enteral infusion pumps, typical sites of service, and how this code fits into durable medical equipment workflows. The publication summarizes common modifier usage and payer variations where available and highlights implications for supplies, rentals, and delivery models.
This briefing provides benchmarks for how B9002 is applied, summarizes policy trends affecting enteral nutrition equipment reimbursement, and offers clinical context about when enteral pumps are used. Data not available in the input will be clearly identified in the body of the report.
Billing Code Overview
HCPCS Level II code B9002 describes an enteral nutrition infusion pump, any type. The service represents the provision or use of a device designed to deliver enteral nutrition formulations to patients who require tube feeding. The service type is durable medical equipment used to support nutritional therapy.
The typical site of service for this device is the home environment when used for chronic enteral feeding needs, and it may also be used in outpatient infusion centers, long-term care facilities, or inpatient settings when clinically indicated.
Data not available in the input.
Clinical & Coding Specifications
Clinical Context
A typical patient is an adult with a functioning enteral access (nasogastric, orogastric, gastrostomy, or jejunostomy tube) requiring controlled, continuous or intermittent tube feeding at home or in a post-acute facility. The clinician (gastroenterologist, hospital discharge team, or home infusion/enteral nutrition nurse) orders an enteral nutrition infusion pump to deliver formula at prescribed rates and volumes. The pump is provided and set up by a home medical equipment supplier or home health agency; training on use, troubleshooting, and alarm management is performed with the patient and caregiver before discharge or at delivery. Typical workflow: assessment of enteral access and nutrition plan, prescription of pump and supplies, delivery/installation of the pump in the home, caregiver education, and follow-up for tolerance, pump function, and supply resupply. Scenarios include patients with chronic dysphagia, stroke with impaired swallow, head and neck cancer receiving chemoradiation, or neurodegenerative disease requiring long-term enteral feeding.
Coding Specifications
| Modifier | Description | When to Use |
|---|---|---|
00 | Default or not otherwise specified modifier (payer-specific) | Use when no other modifier applies and payer requires use of a default modifier code for non-specific claims processing. |
22 |