B4224 HCPCS code: Parenteral nutrition administration kit, per day
B4224 is the HCPCS Level II code for parenteral nutrition administration kit, per day. Its Medicare coverage code is D (Special coverage instructions apply): Medicare covers it when its national or local coverage criteria are met. The NCCI unit limit is 1 per day on DME suppliers.
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 |
NCCI unit limits (MUE)
| Claim type | Max units per day | Rationale |
|---|---|---|
| DME suppliers | 1 | Code Descriptor / CPT Instruction |
What changed for B4224
- 1986-01-01: B4224 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 B4224?
B4224 is the HCPCS Level II code for parenteral nutrition administration kit, per day. Short descriptor: "Parenteral administration ki".
Does Medicare cover B4224?
Coverage code D — Special coverage instructions apply. Medicare covers it when its national or local coverage criteria are met.
How many units of B4224 can be billed per day?
1 on DME suppliers (NCCI medically unlikely edits).
Related B42 codes
- B4216 — Parenteral nutrition; additives (vitamins, trace elements, heparin, electrolytes), home mix, per day
- B4220 — Parenteral nutrition supply kit; premix, per day
- B4222 — Parenteral nutrition supply kit; home mix, per day
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Next steps
- Run a reimbursement report for a device billed under B4224
- Watch B4224 for fee, coverage and descriptor changes
- Build a full Medicare revenue model for B4224
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.