HCPCS code B4157 — Ef special metabolic inherit.
Status: Active.
Effective Jan 1, 2005.
Source: CMS HCPCS Level II.
B4157
ActiveEf special metabolic inherit
Enteral formula, nutritionally complete, for special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and 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 B4157 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