B4162 Enteral formula, for pediatrics, special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
Short descriptor: Ef ped specmetabolic inherit
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B4162 is the HCPCS Level II code for Enteral formula, for pediatrics, special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, 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 B4162 with the canonical source and edition:
B4162 — Enteral formula, for pediatrics, special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit. ICD-10 Coding Pro (HCPCS Level II 2026). https://icd10codingpro.com/hcpcs-codes/B4162
Canonical URL: https://icd10codingpro.com/hcpcs-codes/B4162