HCPCS B4035 Fee Schedule

HCPCS B4035 vs. Other Enteral Feeding Supplies and Equipment Codes

The HCPCS B4035 code is part of the Enteral and Parenteral Therapy services used for Enteral Feeding Supplies and Equipment. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The HCPCS B4035 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS B4035. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the B4035 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.