2024 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
TAGS: specific calories nutritionally enteral medium through feeding administered glucose carbohydrates acids chain
| Short Description | Ef incomplete/modular |
| HCPCS Coverage Code | D - Special coverage instructions apply |
| HCPCS Action Code | N - No maintenance for this code |
| HCPCS Action Effective Date | January 01, 2005 |
| HCPCS Code Added Date | January 01, 1986 |
| HCPCS Pricing Indicator Code | 39 - Parenteral and Enteral Nutrition |
| HCPCS Multiple Pricing Indicator Code | A - Not applicable as HCPCS priced under one methodology |
| HCPCS Coverage Issues Manual Reference Section Number | 65-10 |
| HCPCS Type Of Service Code | E - Enteral/parenteral nutrients/supplies (eff 04/95) |
| HCPCS Anesthesia Base Unit Quantity | 0 |
Check Similar HCPCS Codes
- B4160 - Ef ped caloric dense>/=0.7kc
- B4161 - Ef ped hydrolyzed/amino acid
- B4162 - Ef ped specmetabolic inherit
- B4164 - Parenteral 50% dextrose solu
- B4168 - Parenteral sol amino acid 3.
- B4172 - Parenteral sol amino acid 5.
- B4176 - Parenteral sol amino acid 7-
- B4178 - Parenteral sol amino acid >
- B4180 - Parenteral sol carb > 50%
- B4185 - Pn soln nos 10 grams lipids
- B4187 - Omegaven, 10 grams lipids
- B4189 - Parenteral sol amino acid &
- B4193 - Parenteral sol 52-73 gm prot
- B4197 - Parenteral sol 74-100 gm pro
- B4199 - Parenteral sol > 100gm prote
- B4216 - Parenteral nutrition additiv
- B4220 - Parenteral supply kit premix
- B4222 - Parenteral supply kit homemi
- B4224 - Parenteral administration ki
- B5000 - Parenteral sol renal-amirosy