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HCPCS codes / B / B4159

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

Code type
HCPCS Level II
Coverage
Special coverage instructions
BETOS category
O1C
Pricing indicator
46
Effective date
20050101
Verify before billing. Confirm against current official CMS HCPCS files and your payer's rules before clinical or claims use.