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HCPCS Level II/B-Codes/B4087

B4087 HCPCS Level II Code: Gastrostomy/jejunostomy tube, standard, any material, any type, each

Medicare Coverage & Payment

  • Medicare coverage: Carrier judgment (CMS coverage code C)
  • Payment category: Parenteral and enteral nutrition (pricing indicator 39)
  • BETOS: O1C — Enteral and parenteral
  • Last CMS action effective: January 1, 2008

Source: CMS HCPCS Level II release. Coverage codes indicate how Medicare treats the code, not whether a specific claim will be paid; payer policy and documentation still govern.

Official Registry Overview & Definition

Gastrostomy/jejunostomy tube, standard, any material, any type, each is a HCPCS Level II code (B4087). CMS assigns coverage code C — Carrier judgment. Short description: Gastro/jejuno tube, std.

Nearest Codes in This Family

Official HCPCS Level II classifications closest to B4087 in its code family, with their registry titles.

  • B4034 — Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape
  • B4035 — Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape
  • B4036 — Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape
  • B4081 — Nasogastric tubing with stylet
  • B4082 — Nasogastric tubing without stylet
  • B4083 — Stomach tube - levine type
  • B4088 — Gastrostomy/jejunostomy tube, low-profile, any material, any type, each