HCPCS Code B4102

Enteral formula, for adults, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit
Short DescriptionEf adult fluids and electro
Year2026
Coverage CodeD = Special coverage instructions apply
Action CodeN = No maintenance for this code
Action Effective DateJanuary 01, 2005
Code Added DateJanuary 01, 2005
Pricing Indicator39 = Parenteral and Enteral Nutrition
Type of ServiceE = Enteral/parenteral nutrients/supplies (eff 04/95)