2025 HCPCS Code B4155
Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit
TAGS: specific calories nutritionally enteral medium through feeding administered glucose carbohydrates acids chain| Short Description | Ef incomplete/modular |
| 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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