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See a sample rate comparisonHCPCS B4216 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; additives (vitamins, trace elements, heparin, electrolytes) homemix per day
| Key Fact | Detail |
|---|---|
| Service Type | Enteral and Parenteral Therapy Parenteral Solutions and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for B4216 |
National average reimbursement for HCPCS B4216 by major payers:
$9.03
$9.27
$9.40
$8.89
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HCPCS B4216
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$39.54Published rateEvans Memorial Hospital, Inc.
Evans Memorial Hospital Inc
$16.05Published rateTattnall Hospital Company, LLC, Optim Medical Center - Tattnall
$11.39Published rateAugusta Vamc
$9.97Published rateJeremy Kelley
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$5.59Published rate
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See a sample payer proposalHCPCS B4216 vs. Other Parenteral Solutions and Supplies Codes
The HCPCS B4216 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 B4216 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 |
|---|---|---|
| B4199-HCPCS | Moderate | Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix |
| B4216-HCPCS | Low | Parenteral nutrition; additives (vitamins, trace elements, heparin, electrolytes) homemix per day |
| B4220-HCPCS | Low | Parenteral nutrition supply kit; premix, per day |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS B4216. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the B4216 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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