HCPCS Level IIenteral_parenteralActive
B4155
Ef incomplete/modular
BETOS: O1C
Effective: 2005-01-01
Referenced in 4 policies
Description
Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit
Coverage Policies
This code is referenced in 4 Medicare coverage policies
Sample Policies
CIGNA-0136PayerPolicy