B4189

Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein – premix

Coverage Code: Special coverage instructions apply

Action Code: No maintenance for this code

Date Added: January 1, 1988

Effective Date: January 1, 2002

Termination Date:

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