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
- B4149 - Ef blenderized foods
- B4150 - Ef complet w/intact nutrient
- B4152 - Ef calorie dense>/=1.5kcal
- B4153 - Ef hydrolyzed/amino acids
- B4154 - Ef spec metabolic noninherit
- B4155 - Ef incomplete/modular
- B4157 - Ef special metabolic inherit
- B4158 - Ef ped complete intact nut
- B4159 - Ef ped complete soy based
- 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