HCPCS code B4160 — Ef ped caloric dense>/=0.7kc. Status: Active. Effective Jan 1, 2005. Source: CMS HCPCS Level II.

B4160

Active

Ef ped caloric dense>/=0.7kc

Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, 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 B4160 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