HCPCS Level IIenteral_parenteralActive
B4153
Ef hydrolyzed/amino acids
BETOS: O1C
Effective: 2005-01-01
Referenced in 2 policies
Description
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
Coverage Policies
This code is referenced in 2 Medicare coverage policies
Sample Policies
ANTHEM-CG-MED-08PayerPolicy