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See a sample rate comparisonHCPCS B4220 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 supply kit; premix, 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 B4220 |
National average reimbursement for HCPCS B4220 by major payers:
$10.60
$9.61
$9.03
$9.25
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HCPCS B4220
5 of 25 sample ratesHigher to lower in this preview
Emory University, Emory University Hospital
Emory University
$40.97Published rateAtl Colorectal Surgery
$16.56Published rateCharleston Radiologists PA
Charleston Radiologists, P.A.
$12.22Published rateJenkins County Hospital LLC, Optim Medical Center - Jenkins
$8.68Published rateWildwood Sanitarium Incorporated, Wildwood Medical Clinic
Wildwood Sanitarium Incorporated
$3.85Published rate
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Payer Contract Negotiation
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See a sample payer proposalHCPCS B4220 vs. Other Parenteral Solutions and Supplies Codes
The HCPCS B4220 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 B4220 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 |
|---|---|---|
| B4216-HCPCS | Low | Parenteral nutrition; additives (vitamins, trace elements, heparin, electrolytes) homemix per day |
| B4220-HCPCS | Low | Parenteral nutrition supply kit; premix, per day |
| B4222-HCPCS | Low | Parenteral nutrition supply kit; home mix, 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 B4220. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the B4220 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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