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BETA v.3.0

2025 HCPCS code B4193

Premixed parenteral nutrition solution containing 52-73 grams of protein; includes preparation.

Refer to the HCPCS coding guidelines for detailed instructions on billing for parenteral nutrition solutions.

Modifiers may be applicable depending on circumstances of service. Consult HCPCS guidelines for appropriate modifier use.

Parenteral nutrition is medically necessary when the gastrointestinal tract is unable to adequately absorb nutrients due to disease, surgery, or other medical conditions. Documentation must support the patient's inability to receive adequate nutrition through traditional methods.

A physician or other qualified healthcare professional is responsible for ordering and overseeing the administration of parenteral nutrition.Registered dieticians may be involved in formulating the specific nutrient composition of the solution.

IMPORTANT:For parenteral nutrition solutions with different protein amounts, refer to codes B4189-B4199.

In simple words: This code covers a special intravenous (IV) feeding solution given to people whose bodies can't process food normally. The solution provides essential nutrients like protein, carbohydrates, and vitamins directly into the bloodstream.

This HCPCS code, B4193, represents a premixed parenteral nutrition solution of any strength.The solution contains 52 to 73 grams of protein, composed of compounded amino acids and carbohydrates, along with electrolytes, trace elements, and vitamins.Preparation of the solution is included in this code. Parenteral nutrition is administered intravenously to patients whose digestive systems are unable to function properly. The specific nutrient composition varies depending on individual patient needs.

Example 1: A patient recovering from major bowel surgery requires parenteral nutrition to maintain nutritional status while their digestive system heals. Code B4193 is used to bill for the premixed solution., A patient with Crohn's disease experiencing severe malabsorption is prescribed parenteral nutrition for long-term nutritional support. Code B4193 is used for the premixed solution provided., A patient with short bowel syndrome is unable to absorb sufficient nutrients through their gut and requires a customized parenteral nutrition regimen.Code B4193 is used if the provided solution meets the specifications (52-73 grams protein).

* Physician's order specifying the type and amount of parenteral nutrition solution.* Patient's medical history and nutritional assessment indicating the need for parenteral nutrition.* Documentation of the specific composition of the solution (amino acids, carbohydrates, electrolytes, trace elements, and vitamins).* Records of administration of the solution, including date, time, and amount given.* Evidence of the solution preparation and quality control.

** This code includes preparation of the solution.Specific details about the solution's composition should be documented to ensure appropriate reimbursement.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

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