B4155 Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit
Short descriptor: Ef incomplete/modular
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B4155 is the HCPCS Level II code for Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit (2026). It belongs to Section B — Enteral & Parenteral Therapy. Under Medicare, its coverage status is: Special coverage instructions apply. Part B pricing methodology: Parenteral and enteral nutrition.
Classification & CMS Attributes
- Section
- B: Enteral & Parenteral Therapy
- Medicare Coverage
- Special coverage instructions apply (code D)
- Part B Pricing
- Parenteral and enteral nutrition (indicator 39)
- Type of Service
- Enteral/parenteral nutrients & supplies
- Effective Date
- 2005-01-01
- 2026 Maintenance
- No change this year
References
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Reference B4155 with the canonical source and edition:
B4155 — Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit. ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/B4155
Canonical URL: https://icd10codingpro.com/hcpcs-codes/B4155