2016 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

  • 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