Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 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 ped caloric dense>/=0.7kc
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: