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HCPCS codes / B / B4154

B4154

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

Code type
HCPCS Level II
Coverage
Special coverage instructions
BETOS category
O1C
Pricing indicator
39
Effective date
20050101
Verify before billing. Confirm against current official CMS HCPCS files and your payer's rules before clinical or claims use.