Additive for enteral formula (e.g., fiber)

B4104
HCPCS Code

B4104 is a valid 2023 HCPCS Code that could be used to indicate Additive for enteral formula (e.g., fiber) for reimbursement purposes.

B4104 belongs to Enteral/Parenteral Nutrients/Supplies Type of Service and has been in effect since Jan 01, 2005.

Additive for enteral formula

B4104 code information

HCPCS code:	B4104
Description:	ADDITIVE FOR ENTERAL FORMULA (E.G., FIBER)
Effective Date:	Jan 01, 2005
Added Date:	Jan 01, 2005
Termination Date:	HCPCS B4104 was terminated on Nov 30, -0001
Pricing indicator:	`00` - SERVICE NOT SEPARATELY PRICED BY PART B (E.G., SERVICES NOT COVERED, BUNDLED, USED BY PART A ONLY, ETC.) PHYSICIAN FEE SCHEDULE AND NON-PHYSICIAN PRACTITIONERS
Multi Pricing indicator:	`9` - NOT APPLICABLE AS HCPCS NOT PRICED SEPARATELY BY PART B (PRICING INDICATOR IS 00) OR VALUE IS NOT ESTABLISHED (PRICING INDICATOR IS ´99´)
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