HCPCS Code B4103
Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit
| Short Description | Ef ped fluid and electrolyte |
|---|---|
| Year | 2026 |
| Coverage Code | D = Special coverage instructions apply |
| Action Code | N = No maintenance for this code |
| Action Effective Date | January 01, 2005 |
| Code Added Date | January 01, 2005 |
| Pricing Indicator | 46 = Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap - filled amounts) |
| Type of Service | E = Enteral/parenteral nutrients/supplies (eff 04/95) |