HCPCS Code B4161

Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
Short DescriptionEf ped hydrolyzed/amino acid
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 Indicator46 = Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap - filled amounts)
Type of ServiceE = Enteral/parenteral nutrients/supplies (eff 04/95)