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BETA v.3.0

2025 HCPCS code B5000

Parenteral nutrition solution, compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, renal–aminosyn rf, nephramine, renamin premix.

Use B codes for enteral and parenteral nutrition items and services.

Medical necessity for B5000 must be clearly documented. The provider should demonstrate that the patient's renal condition prevents adequate nutrient intake through other means.

A parenteral nutrition solution supplies nutrients intravenously for a patient whose digestive tract does not function properly. A special formula is necessary for patients with special nutritional deficiencies or metabolic diseases, such as renal failure.

IMPORTANT:For other special metabolic formula parental nutrition solutions, see B5100 (Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, hepatic, hepatamine–premix) and B5200 (Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, stress–branch chain amino acids–freamine–hbc–premix).

In simple words: This code represents a pre-mixed nutritional solution given through an IV to patients with kidney problems who can't digest food normally.The solution contains a blend of essential nutrients like proteins, carbohydrates, vitamins, and minerals tailored to their specific needs.

This code covers a premix parenteral nutrition solution of any strength for a renal patient that consists of compounded amino acids and carbohydrates, with electrolytes, trace elements and vitamins, such as Aminosyn RF®, NephrAmine®, or RenAmin®. This code includes preparation.

Example 1: A patient with chronic kidney disease stage 5 requires ongoing dialysis and is unable to maintain adequate nutrition through oral intake. B5000 is used to administer the necessary nutrients intravenously., A patient with acute renal failure experiences severe nausea and vomiting, making it impossible to consume food. B5000 is used to provide short-term nutritional support until kidney function improves., A patient recovering from a kidney transplant experiences complications that affect their ability to absorb nutrients from food. B5000 is used to ensure they receive the necessary nutrition for healing and recovery.

Documentation should include the medical necessity for parenteral nutrition, the patient's renal condition, the type and amount of solution administered, and any relevant lab results.

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