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

B4159
HCPCS Code

2023 HCPCS
Billable/Valid Code

B4159 is a valid 2023 HCPCS Code that could be used to indicate 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 for reimbursement purposes.

B4159 belongs to Enteral/Parenteral Nutrients/Supplies Type of Service and has been in effect since Jan 01, 2005.

Short description for B4159 HCPCS code:

Ef ped complete soy based

HCPCS B4159

B4159 code information

HCPCS code:	B4159
Description:	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:	Jan 01, 2005
Added Date:	Jan 01, 2005
Termination Date:	HCPCS B4159 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