Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein – premix
Short Description: Parenteral sol 74-100 gm pro
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: