HCPCS Code B4155
Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit
| Short Description | Ef incomplete/modular |
|---|---|
| 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, 1986 |
| Pricing Indicator | 39 = Parenteral and Enteral Nutrition |
| Type of Service | E = Enteral/parenteral nutrients/supplies (eff 04/95) |