Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
Short Description: Ef ped hydrolyzed/amino acid
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: