Table of content for "Omegaven, 10 grams lipids" (HCPCS B4187)
General information on the “B4187” code
HCPCS Code: B4187
Long Description: Omegaven, 10 grams lipids
Short Description: Omegaven, 10 grams lipids
Original information is taken from B4187 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
Coverage: D – Special coverage instructions apply
Type of service
Processing Note Number: 0126
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: 20200101
Code Effective Date: 20200101
Action Code: N – No maintenance for this code