Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
Short Description: Ef spec metabolic noninherit
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: