HCPCS Code B4154

Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
Short DescriptionEf spec metabolic noninherit
Year2026
Coverage CodeD = Special coverage instructions apply
Action CodeN = No maintenance for this code
Action Effective DateJanuary 01, 2005
Code Added DateJanuary 01, 1984
Pricing Indicator39 = Parenteral and Enteral Nutrition
Type of ServiceE = Enteral/parenteral nutrients/supplies (eff 04/95)