HCPCS Code B4104

Additive for enteral formula (e.g., fiber)
Short DescriptionAdditive for enteral formula
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 Indicator00 = Service not separately priced by Part B (e.g., services not covered, bundled, used by part a only, etc.)
Type of ServiceE = Enteral/parenteral nutrients/supplies (eff 04/95)