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BETA v.3.0

2025 HCPCS code B4185

Parenteral nutrition solution, not otherwise specified, 10 grams lipids.

When using premix parenteral nutrition solutions, do not bill separately for carbohydrates, amino acids, or additives. However, lipids (B4185 or B4187) are billed separately. One unit of service is billed for every 10 grams of lipids provided.Modifiers may be applicable, such as BA (when used with IV pole E0776) or KX (when coverage criteria are met).

Yes, modifiers such as BA (used with IV pole E0776) and KX (when coverage criteria are met) may be applicable.

Parenteral nutrition, including lipid supplementation, is medically necessary when a patient is unable to obtain adequate nutrition through the digestive system.Documentation should clearly establish the reason for the patient's inability to eat and the clinical need for intravenous nutrition.

IMPORTANT:For Omegaven (fish oil lipid injectable emulsion), use B4187.For parenteral nutrition solutions containing less than 10 grams of protein per day, use B9999.

In simple words: This code covers a nutritional solution given through a vein (IV) for people who can't digest food normally. It's specifically for the fat component (lipids) of the solution, and it's billed for every 10 grams given.

Parenteral nutrition solution, not otherwise specified, per 10 grams of lipids. This solution is administered intravenously to provide nutrients to patients whose digestive system isn't functioning properly.It is billed per 10 grams of lipids provided.

Example 1: A pediatric patient with a digestive disorder receives 20 grams of lipids as part of their parenteral nutrition. This would be billed as two units of B4185., An adult patient undergoing chemotherapy experiences severe nausea and vomiting, preventing them from eating. They receive 50 grams of lipids via parenteral nutrition, which is billed as five units of B4185., A patient with short bowel syndrome requires long-term parenteral nutrition.They receive 30 grams of lipids daily as part of their nutritional regimen, resulting in three units of B4185 billed per day.

Medical record documentation should support the medical necessity of the parenteral nutrition, including the diagnosis necessitating it, the specific components and amounts of nutrients provided (including lipids), and the patient's clinical condition.

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