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Crucial®

Nestlé Health Science
(SOLD BY CAN 1/CN) Crucial Unflavored 8 Ounce Can. Formulated for immune support of critically ill patients. Designed to support healing of Stages III or IV pressure ulcers, or nonhealing wounds. Peptide-based for improved nitrogen absorption and ulilization. 15 g of arginine/1,000 mL to support healing. Lipid blend includes marine oil and MCT oil to support immune function and tolerance. Elevated levels of key micronutrients associated with wound healing. For complete elemental nutrition for immune support, wound healing and critical illness; as well as trauma, hypermetabolism, head injury, elective surgery, major surgery, burns, chronic pressure ulcers, dual feeding with TPN, and complete or supplemental tube feeding. Not for parenteral use. 250-mL cans contain 1.5 calories per mL. Unflavored . 24/cs. Brand: Nestle
* The product information contained on this page, including the product images and additional product materials, was collected from various supplier sources. All product claims and specifications are those of the product suppliers. Every effort has been made to ensure the accuracy of the product information, however on occasion manufacturers may alter their products or packaging without notice. Wound Reference assumes no liability for inaccuracies or misstatements about products. The properties of a product may change or be inaccurate following the posting or printing of the product information in the document, either in the print or online version. Due to product changes, information listed in this document is subject to change without notice. We recommend that you always read labels, warnings and instructions for use before using a product. Content on this site is for reference purposes and is not intended to be a substitute for professional advice given by a physician or other licensed healthcare professional.

ESSENTIALS

Product
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HCPCS Class
HCPCS
$27.44
Amazon
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Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
B4153
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
B4153
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DME coverage and co-payment
Manufacturer
Product
Rating
Suppliers Price
Patient DME Co-Payment per Billable Unit
DME Reimbursement to Suppliers
Frequency Replacement if Requirements Met
Office and/or Facility - Product reimbursement
Nestlé Health Science
CRUCIAL®, 250 mL
$27.44
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$.00
100 calories = 1 unit
Units of service as needed per day
Nestlé Health Science
CRUCIAL®, SpikeRight®, 1000 mL
$.00
100 calories = 1 unit
Units of service as needed per day
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Recom / Evidence
FDA Safety
Quality Measures
Cost Effectiveness
$27.44
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Coming soon
Coming soon
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Features
$27.44
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High protein
CPT CodeDescription Physician Reimbursement - Office Physician Reimbursement - Facility Facility Reimbursement
97802Medical nutrition indiv in $35.28 $33.12 $0.00
97803Med nutrition indiv subseq $30.60 $28.08 $0.00
97804Medical nutrition group $16.20 $15.48 $0.00
99601Home infusion/visit 2 hrs
99602Home infusion each addtl hr
  • Based on national averages
  • Medicare payments for participating qualified health professionals (QHP) for services performed in their Offices (*) or at a Facility (** i.e., hospital outpatient department or ambulatory service center). Payments are nationally unadjusted average amounts, and do not account for differences in payment due to geographic variation. The allowed rate for non-participating physicians is set at 95% of the allowable for participating physicians. Non-participating physicians are subject to the limiting charge rules. The coinsurance is limited to 20% of the allowable fee.
  • When covered by the Medicare contractor, this manufacturer product is separately payable in a QHP office based on the Average Sales Price (ASP) as reported by the manufacturer on a quarterly basis.
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  • The information provided on this website is informational only. This is not a guarantee of Reimbursement Rates, nor is it intended to make recommendations regarding clinical practices. Information on this website is subject to change with out notice due to changes in reimbursement laws, regulations, rules and policies. The ultimate responsibility for correct coding lies with the provider of services. Please contact the appropriate payer for their interpretation of the appropriate code to use for the procedure.
  • CPT® is a registered trademark of the American Medical Association. All CPT codes and descriptions are copyrighted 2018, American Medical Association. All rights reserved. CPT codes and CPT descriptions are from the current manuals and those included herein are not intended to be all-inclusive and are included for informational purposes only. Codes referenced on Wound Reference are for informational purposes only. Inclusion or exclusion of any codes does not guarantee coverage. Providers should reference the American Medical Association prior to the submission of claims for reimbursement of covered services.


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