HCPCS Code Section: HCPCS B Codes

B4153

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 = …

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 …

B4150

Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit Short …

B4178

Parenteral nutrition solution: amino acid, greater than 8.5% (500 ml = 1 unit) – home mix Short Description: Parenteral sol amino acid > Coverage Code: Special coverage instructions apply …

B4149

Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 …

B4176

Parenteral nutrition solution; amino acid, 7% through 8.5%, (500 ml = 1 unit) – home mix Short Description: Parenteral sol amino acid 7- Coverage Code: Special coverage instructions apply …

B4105

In-line cartridge containing digestive enzyme(s) for enteral feeding, each Short Description: Enzyme cartridge enteral nut Coverage Code: Carrier judgment Action Code: No maintenance for this code Date Added: January …

B4172

Parenteral nutrition solution; amino acid, 5.5% through 7%, (500 ml = 1 unit) – home mix Short Description: Parenteral sol amino acid 5. Coverage Code: Special coverage instructions apply …

B4104

Additive for enteral formula (e.g., fiber) Short Description: Additive for enteral formula Coverage Code: Special coverage instructions apply Action Code: No maintenance for this code Date Added: January 1, …

B4168

Parenteral nutrition solution; amino acid, 3.5%, (500 ml = 1 unit) – home mix Short Description: Parenteral sol amino acid 3. Coverage Code: Special coverage instructions apply Action Code: …