B4152

Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit

Short Description: Ef calorie dense>/=1.5kcal

Coverage Code: Special coverage instructions apply

Action Code: No maintenance for this code

Date Added: January 1, 1984

Effective Date: January 1, 2005

Termination Date:

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