B4081 HCPCS code: Nasogastric tubing with stylet
B4081 is the HCPCS Level II code for nasogastric tubing with stylet. In 2024 Medicare paid an average of $14.51 per service for B4081 across 139 services. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. Medicare volume rose 173% from 2022 to 2024 (51 to 139 services). In 2024, 17 suppliers billed Medicare for B4081 (purchases), serving 34 beneficiaries.
Code details
| Field | Value |
|---|---|
| Section | B codes — Enteral and parenteral therapy |
| Coverage code | D — Special coverage instructions apply |
| Pricing indicator | 39 — DMEPOS: parenteral and enteral nutrition |
| BETOS category | O1C — Enteral and parenteral nutrition |
| Added | 1986-01-01 |
| Last action effective | 2002-01-01 |
Who bills B4081 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 17 |
| Referring clinicians | 35 |
| Medicare beneficiaries | 34 |
| States with claims | 2 |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 13 | 14 |
| 2023 | 19 | 28 |
| 2024 | 17 | 34 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for B4081, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 51 | 14 | $17.34 | $13.69 |
| 2023 | 113 | 28 | $18.33 | $14.37 |
| 2024 | 139 | 34 | $18.63 | $14.51 |
States with the most B4081 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Utah | 49 | $14.64 |
| Pennsylvania | 42 | $14.56 |
What changed for B4081
- 1986-01-01: B4081 added to HCPCS Level II
- Next scheduled CMS quarterly update (HCPCS and DMEPOS fee schedule): 2027-01-01
Frequently asked questions
What is HCPCS code B4081?
B4081 is the HCPCS Level II code for nasogastric tubing with stylet. Short descriptor: "Enteral ng tubing w/ stylet".
How much does Medicare pay for B4081?
In 2024, the average Medicare payment was $14.51 per service (average allowed $18.63).
Does Medicare cover B4081?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
Related B40 codes
- 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
- B4082 — Nasogastric tubing without stylet
- B4083 — Stomach tube - levine type
- B4087 — Gastrostomy/jejunostomy tube, standard, any material, any type, each
- B4088 — Gastrostomy/jejunostomy tube, low-profile, any material, any type, each
Building a device that would bill under a code like this? Caduvo matches a device description to HCPCS/CPT codes, Medicare coverage and payment, and the FDA pathway in one report.
Next steps
- Run a reimbursement report for a device billed under B4081
- Watch B4081 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for B4081
Sources: CMS HCPCS Level II release October 2025; CMS DMEPOS fee schedule; CMS NCCI MUE tables; CMS Medicare utilization (physician and DME supplier files); CMS Medicare Coverage Database articles. Fees are Medicare allowables, not commercial rates. Not billing or legal advice.