HCPCS Code B4153

Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
Short DescriptionEf hydrolyzed/amino acids
Year2026
Coverage CodeD = Special coverage instructions apply
Action CodeN = No maintenance for this code
Action Effective DateJanuary 01, 2005
Code Added DateJanuary 01, 1986
Pricing Indicator39 = Parenteral and Enteral Nutrition
Type of ServiceE = Enteral/parenteral nutrients/supplies (eff 04/95)