2025 HCPCS Code B4162

Enteral formula, for pediatrics, special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit

TAGS: enteral disease vitamins metabolic inherited special through feeding include administered calories needs
Short DescriptionEf ped specmetabolic inherit
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

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