2012 HCPCS Code B4103
Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g. clear liquids), 500 ml = 1 unit

HCPCS B4103 was added on: Saturday, January 01, 2005

Type of Service Classification:
- E = Enteral/parenteral nutrients/supplies (eff 04/95)

Methodology for developing unique pricing amounts under Medicare Part B:
- 46 = Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings -> Carrier priced (e.g., not otherwise classified, individual determination, carrier discretion, gap-filled amounts)

HCPCS Multiple Pricing Indicator Code: A = Not applicable as HCPCS priced under one methodology

HCPCS Coverage Issues Manual Reference Section: