HCPCS code B4159 — Ef ped complete soy based.
Status: Active.
Effective Jan 1, 2005.
Source: CMS HCPCS Level II.
B4159
ActiveEf ped complete soy based
Enteral formula, for pediatrics, nutritionally complete soy based 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 B4159 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