B4158 Enteral formula, for pediatrics, nutritionally complete 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
Short descriptor: Ef ped complete intact nut
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B4158 is the HCPCS Level II code for Enteral formula, for pediatrics, nutritionally complete 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 (2026). It belongs to Section B — Enteral & Parenteral Therapy. Under Medicare, its coverage status is: Special coverage instructions apply. Part B pricing methodology: Carrier priced.
Classification & CMS Attributes
- Section
- B: Enteral & Parenteral Therapy
- Medicare Coverage
- Special coverage instructions apply (code D)
- Part B Pricing
- Carrier priced (indicator 46)
- Type of Service
- Enteral/parenteral nutrients & supplies
- Effective Date
- 2005-01-01
- 2026 Maintenance
- No change this year
References
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Reference B4158 with the canonical source and edition:
B4158 — Enteral formula, for pediatrics, nutritionally complete 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. ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/B4158
Canonical URL: https://icd10codingpro.com/hcpcs-codes/B4158