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HCPCS Procedure & Supply Codes
Enteral And Parenteral Therapy
section notes
Enteral Formulae and Enteral Medical Supplies
section notes
B4034   Enteral feeding supply kit; syringe fed, per day, includes but not limited to fe...
B4035   Enteral feeding supply kit; pump fed, per day, includes but not limited to feedi...
B4036   Enteral feeding supply kit; gravity fed, per day, includes but not limited to fe...
B4081   Nasogastric tubing with stylet
B4082   Nasogastric tubing without stylet
B4083   Stomach tube - levine type
B4087   Gastrostomy/jejunostomy tube, standard, any material, any type, each
B4088   Gastrostomy/jejunostomy tube, low-profile, any material, any type, each
B4100   Food thickener, administered orally, per ounce
B4102   Enteral formula, for adults, used to replace fluids and electrolytes (e.g., clea...
B4103   Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., ...
B4104   Additive for enteral formula (e.g., fiber)
B4105   In-line cartridge containing digestive enzyme(s) for enteral feeding, each
B4148   Enteral feeding supply kit; elastomeric control fed, per day, includes but not l...
B4149   Enteral formula, manufactured blenderized natural foods with intact nutrients, i...
B4150   Enteral formula, nutritionally complete with intact nutrients, includes proteins...
B4152   Enteral formula, nutritionally complete, calorically dense (equal to or greater ...
B4153   Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and pe...
B4154   Enteral formula, nutritionally complete, for special metabolic needs, excludes i...
B4155   Enteral formula, nutritionally incomplete/modular nutrients, includes specific n...
B4157   Enteral formula, nutritionally complete, for special metabolic needs for inherit...
B4158   Enteral formula, for pediatrics, nutritionally complete with intact nutrients, i...
B4159   Enteral formula, for pediatrics, nutritionally complete soy based with intact nu...
B4160   Enteral formula, for pediatrics, nutritionally complete calorically dense (equal...
B4161   Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain protei...
B4162   Enteral formula, for pediatrics, special metabolic needs for inherited disease o...
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