B4087 HCPCS code: Gastrostomy/jejunostomy tube, standard, any material, any type, each
B4087 is the HCPCS Level II code for gastrostomy/jejunostomy tube, standard, any material, any type, each. In 2024 Medicare paid an average of $26.00 per service for B4087 across 7,405 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. Medicare volume fell 12% from 2022 to 2024 (8,428 to 7,405 services). In 2024, 661 suppliers billed Medicare for B4087 (purchases), serving 3,657 beneficiaries; New York, California, Texas accounted for 28% of services.
Code details
| Field | Value |
|---|---|
| Section | B codes — Enteral and parenteral therapy |
| Coverage code | C — Carrier judgment |
| Pricing indicator | 39 — DMEPOS: parenteral and enteral nutrition |
| BETOS category | O1C — Enteral and parenteral nutrition |
| Added | 2008-01-01 |
| Last action effective | 2008-01-01 |
Who bills B4087 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 661 |
| Referring clinicians | 2,824 |
| Medicare beneficiaries | 3,657 |
| States with claims | 49 |
| Share of services in top 3 states (New York, California, Texas) | 28% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 670 | 3,915 |
| 2023 | 664 | 3,844 |
| 2024 | 661 | 3,657 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for B4087, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 8,428 | 3,915 | $31.21 | $24.00 |
| 2023 | 8,117 | 3,844 | $33.26 | $25.57 |
| 2024 | 7,405 | 3,657 | $33.82 | $26.00 |
States with the most B4087 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| New York | 967 | $25.14 |
| California | 652 | $27.04 |
| Texas | 468 | $24.88 |
| Illinois | 427 | $27.84 |
| New Jersey | 354 | $23.38 |
What changed for B4087
- 2008-01-01: B4087 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 B4087?
B4087 is the HCPCS Level II code for gastrostomy/jejunostomy tube, standard, any material, any type, each. Short descriptor: "Gastro/jejuno tube, std".
How much does Medicare pay for B4087?
In 2024, the average Medicare payment was $26.00 per service (average allowed $33.82).
Does Medicare cover B4087?
Coverage code C — Carrier judgment. Coverage is decided by the Medicare contractor (MAC) case by case.
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
- B4082 — Nasogastric tubing without stylet
- B4083 — Stomach tube - levine type
- 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 B4087
- Watch B4087 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for B4087
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.