HCPCS code B4158 — Ef ped complete intact nut.
Status: Active.
Effective Jan 1, 2005.
Source: CMS HCPCS Level II.
B4158
ActiveEf ped complete intact nut
Enteral formula, for pediatrics, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, 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 B4158 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