2012 HCPCS Code B4158
Enteral formula, for pediatrics, nutritionally complete 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
HCPCS B4158 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:
