Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
Short Description: Ef hydrolyzed/amino acids
Coverage Code: Special coverage instructions apply
Action Code: No maintenance for this code
Date Added: January 1, 1986
Effective Date: January 1, 2005
Termination Date: