2022 HCPCS Codes > B Codes >


Enteral formula, for pediatrics, nutritionally complete soy based 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

  • Effective Date: 2005-01-01
  • Medicare Coverage Status: Special coverage instructions apply
  • BETOS Classification: Enteral and parenteral

Medicare has not assigned a fee schedule for this code

B4158       B4160