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See a sample rate comparisonHCPCS B4036 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape
| Key Fact | Detail |
|---|---|
| Service Type | Enteral and Parenteral Therapy Enteral Feeding Supplies and Equipment |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for B4036 |
National average reimbursement for HCPCS B4036 by major payers:
$5.64
$7.06
$7.02
$6.08
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HCPCS B4036
5 of 25 sample ratesHigher to lower in this preview
Scottish Rite Childrens Medical Ctr, Children'S Healthcare Of Atlanta At Scottish Rite
Childrens Healthcare Of Atlanta Inc
$17.40Published rateChu Chen
Merrimack Valley Pediatric Associates, Inc.
$11.77Published rateEmory Crawford Long Hospital
Emory University
$8.96Published rateHospital Authority Of Liberty County, Liberty Regional Medical Center
$5.03Published rateAlicia Encinas
Miguel A Arenas Md PC
$2.09Published rate
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See a sample payer proposalHCPCS B4036 vs. Other Enteral Feeding Supplies and Equipment Codes
The HCPCS B4036 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 B4036 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.
| Code | Complexity | Description |
|---|---|---|
| B4035-HCPCS | Low | Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
| B4036-HCPCS | Low | Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape |
| B4081-HCPCS | Low | Nasogastric tubing with stylet |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS B4036. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the B4036 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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