2010 HCPCS B4155
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

  • This is the 2010 version of HCPCS B4155 - please refer to the 2016 HCPCS code set for the latest version.
  • Added on Wednesday, January 01, 1986
  • Status changed on Saturday, January 01, 2005 to: No maintenance for this code
  • BETOS Classification: Enteral And Parenteral
  • Medicare coverage status: Special coverage instructions apply
  • HCPCS Coverage Issues Manual Reference Section Number: 65-10 
  • HCPCS Medicare Carriers Manual Reference Section Numbers: 2130 4450 

  B4154    B4157