HCPCS B4157 Code. Ef special metabolic inherit


Table of content for "Ef special metabolic inherit" (HCPCS B4157)

General information on the “B4157” code

HCPCS Code: B4157
Long Description: 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
Short Description: Ef special metabolic inherit

Original information is taken from B4157 page

Pricing indicators

Pricing Indicator Code 1: 39 – Parenteral and Enteral Nutrition. Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings .
Multiple Pricing Indicator Code A : Not applicable as HCPCS priced under one methodology

Certification and additional reference information

Coverage Issues Manual Reference Section Number 1: 65-10

Coverage

Coverage: D – Special coverage instructions apply

Type of service


Berenson-Eggers Type of Service (BETOS): O1C – Enteral and parenteral
Type Of Service 1: E – Enteral/parenteral nutrients/supplies (eff 04/95)

Misc information

Anesthesia Base Unit Quantity: 0
Code Added Date: 20050101
Code Effective Date: 20050101
Action Code: N – No maintenance for this code