2024 HCPCS Code B4159
Enteral formula, for pediatrics, nutritionally complete soy based with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unit
TAGS: intact calories nutritionally enteral vitamins fiber through feeding include administered based complete
| Short Description | Ef ped complete soy based |
| 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, 2005 |
| HCPCS Pricing Indicator Code | 46 - Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts) |
| 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
- 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
- B4189 - Parenteral sol amino acid &
- B4193 - Parenteral sol 52-73 gm prot
- B4197 - Parenteral sol 74-100 gm pro
- B4199 - Parenteral sol > 100gm prote