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

B4103
HCPCS Code

2023 HCPCS
Billable/Valid Code

B4103 is a valid 2023 HCPCS Code that could be used to indicate Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit for reimbursement purposes.

B4103 belongs to Enteral/Parenteral Nutrients/Supplies Type of Service and has been in effect since Jan 01, 2005.

Short description for B4103 HCPCS code:

Ef ped fluid and electrolyte

HCPCS B4103

B4103 code information

HCPCS code:	B4103
Description:	ENTERAL FORMULA, FOR PEDIATRICS, USED TO REPLACE FLUIDS AND ELECTROLYTES (E.G., CLEAR LIQUIDS), 500 ML = 1 UNIT
Effective Date:	Jan 01, 2005
Added Date:	Jan 01, 2005
Termination Date:	HCPCS B4103 was terminated on Nov 30, -0001
Pricing indicator:	`46` - CARRIER PRICED (E.G., NOT OTHERWISE CLASSIFIED, INDIVIDUAL DETERMINATION, CARRIER DISCRETION, GAP-FILLED AMOUNTS)
Multi Pricing indicator:	`A` - NOT APPLICABLE AS HCPCS PRICED UNDER ONE METHODOLOGY
HCPCS CIM:	`65-10` HCPCS COVERAGE ISSUES MANUAL REFERENCE SECTION NUMBER(S)
Coverage code:	`D` - SPECIAL COVERAGE INSTRUCTIONS APPLY
BETOS code:	`O1C` - ENTERAL AND PARENTERAL
Action code:	`N` - NO MAINTENANCE FOR THIS CODE
Type of Service:	`E` - ENTERAL/PARENTERAL NUTRIENTS/SUPPLIES
Anesthesia BUQ:	0