HCPCS Level IIenteral_parenteralActive
B4154
Ef spec metabolic noninherit
BETOS: O1C
Effective: 2005-01-01
Referenced in 3 policies
Description
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
Coverage Policies
This code is referenced in 3 Medicare coverage policies
Sample Policies
CIGNA-0136PayerPolicy