HCPCS Level IIenteral_parenteralActive
B4157
Ef special metabolic inherit
BETOS: O1C
Effective: 2005-01-01
Referenced in 3 policies
Description
Enteral formula, nutritionally complete, for special metabolic needs for inherited disease of metabolism, includes proteins, 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 3 Medicare coverage policies
Sample Policies
CIGNA-0136PayerPolicy