2025 HCPCS Code 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

TAGS: calories nutritionally enteral hydrolyzed vitamins through feeding include administered peptide proteins acids
Short DescriptionEf hydrolyzed/amino acids
HCPCS Action Code N - No maintenance for this code
HCPCS Coverage Code D - Special coverage instructions apply
HCPCS Code Added Date January 01, 1986
HCPCS Action Effective Date January 01, 2005
HCPCS Pricing Indicator Code 39 - Parenteral and Enteral Nutrition
HCPCS Type Of Service Code E - Enteral/parenteral nutrients/supplies (eff 04/95)
HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
HCPCS Anesthesia Base Unit Quantity 0
HCPCS Coverage Issues Manual Reference Section Number 65-10

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