2012 HCPCS Code 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

HCPCS B4155 was added on: Wednesday, January 01, 1986

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

Methodology for developing unique pricing amounts under Medicare Part B:
- 39 = Durable Medical Equipment, Prosthetics, Orthotics, Supplies And Surgical Dressings -> Parenteral and Enteral Nutrition

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

See also HCPCS Medicare Carriers Manual Reference Section:

HCPCS Coverage Issues Manual Reference Section: