2025 HCPCS Code B4159
Enteral formula, for pediatrics, nutritionally complete soy based with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit
TAGS: intact calories nutritionally enteral vitamins fiber through feeding include administered based complete| Short Description | Ef ped complete soy based |
| HCPCS Action Code | N - No maintenance for this code |
| HCPCS Coverage Code | D - Special coverage instructions apply |
| HCPCS Code Added Date | January 01, 2005 |
| HCPCS Action Effective Date | January 01, 2005 |
| HCPCS Pricing Indicator Code | 46 - Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts) |
| 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 |
Check Similar HCPCS Codes
- B4180 - Parenteral sol carb > 50%
- B4185 - Pn soln nos 10 grams lipids
- B4187 - Omegaven, 10 grams lipids
- B4189 - Parenteral sol amino acid &
- B4193 - Parenteral sol 52-73 gm prot
- B4197 - Parenteral sol 74-100 gm pro
- B4199 - Parenteral sol > 100gm prote
- B4216 - Parenteral nutrition additiv
- B4220 - Parenteral supply kit premix
- B4222 - Parenteral supply kit homemi
- B4224 - Parenteral administration ki
- B5000 - Parenteral sol renal-amirosy
- B5100 - Parenteral solution hepatic
- B5200 - Parenteral sol hepatic fream
- B9000 - Enter infusion pump w/o alrm
- B9002 - Enter nutr inf pump any type
- B9004 - Parenteral infus pump portab
- B9006 - Parenteral infus pump statio
- B9998 - Enteral supp not otherwise c
- B9999 - Parenteral supp not othrws c