HCPCS code B4155 — Ef incomplete/modular.
Status: Active.
Effective Jan 1, 2005.
Source: CMS HCPCS Level II.
B4155
ActiveEf incomplete/modular
Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, 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 B4155 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