B4157

Enteral formula, nutritionally complete, for special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit

Short Description: Ef special metabolic inherit

Coverage Code: Special coverage instructions apply

Action Code: No maintenance for this code

Date Added: January 1, 2005

Effective Date: January 1, 2005

Termination Date:

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