HCPCS code B4154 — Ef spec metabolic noninherit. Status: Active. Effective Jan 1, 2005. Source: CMS HCPCS Level II.

B4154

Active

Ef spec metabolic noninherit

Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 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 B4154 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
Outpatient Hospital 0
Practitioner Services 0

Source: CMS Medicare NCCI Medically Unlikely Edits