HCPCSwise

HCPCS codes / B / B4155

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

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.