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See a sample rate comparisonHCPCS B4180 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.
Parenteral nutrition solution; carbohydrates (dextrose), greater than 50% (500 ml=1 unit) - homemix
| Key Fact | Detail |
|---|---|
| Service Type | Enteral and Parenteral Therapy Parenteral Solutions and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for B4180 |
National average reimbursement for HCPCS B4180 by major payers:
$28.34
$29.31
$27.24
$36.51
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HCPCS B4180
5 of 25 sample ratesHigher to lower in this preview
Hospital Authority Of Jefferson County And The City Of Louisville, Jefferson Hospital
Hospital Authority Of Jefferson County And The City Of Louisville
$73.01Published rateUjuka Iloabuchi
Gwinnett Obgyn Associates Of Georgia LLC
$50.47Published rateHouston Hospitals Inc, Houston Medical Center
Houston Hospitals Inc
$35.74Published rateMichael Koch
Chestatee Pathology Associates PC
$29.43Published rateHospital Authority Of Jefferson County And The City Of Louisville, Jefferson Hospital
Hospital Authority Of Jefferson County And The City Of Louisville
$17.65Published rate
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See a sample payer proposalHCPCS B4180 vs. Other Parenteral Solutions and Supplies Codes
The HCPCS B4180 code is part of the Enteral and Parenteral Therapy services used for Parenteral Solutions and Supplies. 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 B4180 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 |
|---|---|---|
| B4178-HCPCS | Low | Parenteral nutrition solution: amino acid, greater than 8.5% (500 ml = 1 unit) - homemix |
| B4180-HCPCS | Low | Parenteral nutrition solution; carbohydrates (dextrose), greater than 50% (500 ml=1 unit) - homemix |
| B4185-HCPCS | Low | Parenteral nutrition solution, not otherwise specified, 10 grams lipids |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS B4180. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the B4180 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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