B4164

Parenteral nutrition solution: carbohydrates (dextrose), 50% or less (500 ml = 1 unit) – home mix

Short Description: Parenteral 50% dextrose solu

Coverage Code: Special coverage instructions apply

Action Code: No maintenance for this code

Date Added: January 1, 1986

Effective Date: January 1, 2002

Termination Date:

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