HCPCS code B4103 — Ef ped fluid and electrolyte. Status: Active. Effective Jan 1, 2005. Source: CMS HCPCS Level II.

B4103

Active

Ef ped fluid and electrolyte

Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit

Category: Enteral/Parenteral Therapy
Section: B-codes: Enteral and Parenteral Therapy
Effective: Jan 1, 2005
Code type: alphanumeric
OPPS Status: Y — Non-implantable durable medical equipment

MUE — Medically Unlikely Edits

Maximum units of B4103 Medicare will pay for one beneficiary on one date of service. Claims exceeding the MUE are denied or returned for review.

Service Type Max Units / Day
DME Supplier 0
Outpatient Hospital 0
Practitioner Services 0

Source: CMS Medicare NCCI Medically Unlikely Edits