HCPCS Level IIenteral_parenteralActive
B4159
Ef ped complete soy based
BETOS: O1C
Effective: 2005-01-01
Referenced in 2 policies
Description
Enteral formula, for pediatrics, nutritionally complete soy based with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, 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