HCPCS code B4162 — Ef ped specmetabolic inherit.
Status: Active.
Effective Jan 1, 2005.
Source: CMS HCPCS Level II.
B4162
ActiveEf ped specmetabolic inherit
Enteral formula, for pediatrics, 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 B4162 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