B4088 HCPCS code: Gastrostomy/jejunostomy tube, low-profile, any material, any type, each
B4088 is the HCPCS Level II code for gastrostomy/jejunostomy tube, low-profile, any material, any type, each. In 2024 Medicare paid an average of $29.41 per service for B4088 across 11,636 services. Its Medicare coverage code is C (Carrier judgment): Coverage is decided by the Medicare contractor (MAC) case by case. Medicare volume rose 5% from 2022 to 2024 (11,039 to 11,636 services). In 2024, 911 suppliers billed Medicare for B4088 (purchases), serving 5,014 beneficiaries; California, Florida, Texas accounted for 22% 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 | 2016-01-01 |
Who bills B4088 (2024)
| Measure | Value |
|---|---|
| Suppliers billing rentals | — |
| Suppliers billing purchases | 911 |
| Referring clinicians | 4,733 |
| Medicare beneficiaries | 5,014 |
| States with claims | 51 |
| Share of services in top 3 states (California, Florida, Texas) | 22% |
| Year | Suppliers | Beneficiaries |
|---|---|---|
| 2022 | 957 | 5,079 |
| 2023 | 916 | 5,098 |
| 2024 | 911 | 5,014 |
Counts only. Supplier and clinician names, contact lists and state-by-state detail are in Caduvo.
Medicare utilization for B4088, 2022–2024
| Year | Services | Beneficiaries | Avg. allowed | Avg. paid |
|---|---|---|---|---|
| 2022 | 11,039 | 5,079 | $35.08 | $26.82 |
| 2023 | 11,588 | 5,098 | $37.57 | $28.67 |
| 2024 | 11,636 | 5,014 | $38.49 | $29.41 |
States with the most B4088 services (2024)
| State | Services | Avg. paid |
|---|---|---|
| California | 1,277 | $31.31 |
| Florida | 615 | $25.71 |
| Texas | 614 | $28.34 |
| New York | 606 | $28.88 |
| Ohio | 554 | $28.29 |
What changed for B4088
- 2008-01-01: B4088 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 B4088?
B4088 is the HCPCS Level II code for gastrostomy/jejunostomy tube, low-profile, any material, any type, each. Short descriptor: "Gastro/jejuno tube, low-pro".
How much does Medicare pay for B4088?
In 2024, the average Medicare payment was $29.41 per service (average allowed $38.49).
Does Medicare cover B4088?
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
- B4087 — Gastrostomy/jejunostomy tube, standard, 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 B4088
- Watch B4088 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for B4088
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.