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BETA v.3.0

2025 HCPCS code B9002

Enteral nutrition infusion pump, any type.

When billing for enteral nutrition products with the same HCPCS code administered concurrently, report them on a single claim line, summing the total calories. Ensure proper modifier usage (e.g., RR for rental).

Modifiers may be applicable.Modifier RR is used for rental situations. Other modifiers may apply depending on the specific circumstances.

Medical necessity must be established by documenting the patient's inability to maintain adequate oral intake, along with the clinical rationale for using a pump instead of other feeding methods.

This code is reported when an infusion pump is used to administer enteral nutrition at a controlled rate. This ensures adequate nutrition and reduces feeding-related complications.

In simple words: This code covers a feeding pump that delivers liquid food through a tube into the stomach or intestines for people who can't eat normally.It's typically used over a long period and may have an alarm.

This code covers an enteral nutrition infusion pump of any type, used for patients unable to maintain suitable oral intake of food. The pump may have an alarm feature.

Example 1: A patient with dysphagia following a stroke requires a feeding tube and an enteral nutrition pump for controlled delivery of liquid food., An infant with a congenital digestive disorder needs an enteral nutrition pump to receive specialized formula at a precise rate., A patient with a bowel obstruction requires short-term enteral nutrition via a pump until the obstruction is resolved.

Documentation must justify the medical necessity of the pump, explaining why gravity feeding or other methods are unsuitable (e.g., reflux, aspiration, specific medical conditions).

** A new initial rental period for the pump (B9002) is required if enteral nutrition services using a pump are resumed after two consecutive months of not being needed, or if the beneficiary already receives enteral nutrition and certain criteria related to equipment function or repair are met.Accurate coding and documentation are crucial for appropriate reimbursement.

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

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