B5100

Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, hepatic, hepatamine-premix

Short Description: Parenteral solution hepatic

Coverage Code: Special coverage instructions apply

Action Code: No maintenance for this code

Date Added: January 1, 1988

Effective Date: January 1, 2016

Termination Date:

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