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BETA v.3.0

2025 HCPCS code B5200

Parenteral nutrition solution, compounded branched chain amino acids and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength (FreAmine HBC).

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

Modifiers may be applicable to indicate specific circumstances of administration or additional services provided.Refer to HCPCS modifier guidelines.

Medicare covers parenteral nutrition when medically necessary due to the patient's inability to obtain adequate nutrition through the gastrointestinal tract.Documentation must support the medical necessity.

Administering and monitoring parenteral nutrition, managing central or peripheral venous access, assessing patient nutritional needs, and documenting medical necessity.

IMPORTANT:For other special metabolic formula parental nutrition solutions, see B5000 (renal) and B5100 (hepatic).

In simple words: This code covers a pre-mixed intravenous nutrition solution containing branched-chain amino acids, carbohydrates, electrolytes, trace elements, and vitamins, like FreAmine HBC. It's used for patients who can't digest food normally.

This code covers a premix parenteral nutrition solution of any strength that consists of compounded branched chain amino acids and carbohydrates, with electrolytes, trace elements, and vitamins, such as FreAmine HBC®. This code includes preparation.A parenteral nutrition solution supplies nutrients intravenously for a patient whose digestive tract does not function properly. The composition of nutrients in the solution depends upon the composition of nutrients and their sources in each product.

Example 1: A patient with Crohn's disease experiencing severe bowel inflammation and malabsorption requires parenteral nutrition to maintain adequate nutritional intake., A post-operative patient with complications preventing oral intake receives parenteral nutrition containing branched-chain amino acids to support wound healing and reduce oxidative stress., A patient with short bowel syndrome undergoes home parenteral nutrition with a solution containing branched-chain amino acids and other essential nutrients.

Medical necessity documentation should include the patient's diagnosis, inability to tolerate enteral nutrition, specific nutritional requirements, and type of parenteral solution administered.

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