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 Description | Ef 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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- B4152 - Ef calorie dense>/=1.5kcal
- B4153 - Ef hydrolyzed/amino acids
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