B4082 HCPCS code: Nasogastric tubing without stylet
B4082 is the HCPCS Level II code for nasogastric tubing without stylet. In 2024 Medicare paid an average of $11.00 per service for B4082 across 88 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 214% from 2022 to 2024 (28 to 88 services). In 2024, 15 suppliers billed Medicare for B4082 (purchases), serving 16 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 B4082 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 15 |
| Referring clinicians | 18 |
| Medicare beneficiaries | 16 |
| States with claims | 2 |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 8 | 0 |
| 2023 | 20 | 20 |
| 2024 | 15 | 16 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for B4082, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 28 | 0 | $14.07 | $11.15 |
| 2023 | 81 | 20 | $13.52 | $10.60 |
| 2024 | 88 | 16 | $14.03 | $11.00 |
States with the most B4082 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| Maryland | 20 | $9.99 |
| Illinois | 15 | $10.79 |
What changed for B4082
- 1986-01-01: B4082 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 B4082?
B4082 is the HCPCS Level II code for nasogastric tubing without stylet. Short descriptor: "Enteral ng tubing w/o stylet".
How much does Medicare pay for B4082?
In 2024, the average Medicare payment was $11.00 per service (average allowed $14.03).
Does Medicare cover B4082?
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
- B4081 — Nasogastric tubing with 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 B4082
- Watch B4082 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for B4082
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.