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ALL MEDICAL CODES IN CATEGORY Enteral Formulas and Additives

2025 HCPCS code B4154

Nutritionally complete enteral formula for specific metabolic needs (excluding inherited metabolic disorders), with modified protein, fat, carbohydrate, vitamin, and/or mineral composition, possibly including fiber, administered via feeding tube (100 calories = 1 unit).

2025 HCPCS code B4157

Nutritionally complete enteral formula for inherited metabolic disorders; administered via feeding tube; 100 calories = 1 unit.

2025 HCPCS code B4104

Additive for enteral formula (e.g., fiber).

2025 HCPCS code B4103

Enteral formula for pediatrics, used to replace fluids and electrolytes; 500 ml = 1 unit.

2025 HCPCS code B4102

Enteral formula for adults, used to replace fluids and electrolytes.

2025 HCPCS code B4152

Supply of a nutritionally complete, calorically dense enteral formula (≥1.5 kcal/mL) with intact nutrients, administered via feeding tube; 100 calories = 1 unit.

2025 HCPCS code B4155

Use of a nutritionally incomplete enteral formula (modular nutrients) in 100-calorie units, administered via feeding tube.

2025 HCPCS code B4159

Nutritionally complete soy-based enteral formula for pediatric patients, administered via feeding tube (100 calories = 1 unit).

2025 HCPCS code B4160

Enteral formula for pediatrics; nutritionally complete, calorically dense (≥ 0.7 kcal/ml), intact nutrients; administered via enteral feeding tube; 100 calories = 1 unit.

2025 HCPCS code B4161

Enteral formula for pediatrics; hydrolyzed/amino acids and peptide chain proteins; includes fats, carbohydrates, vitamins, and minerals; may include fiber; administered through an enteral feeding tube; 100 calories = 1 unit.

2025 HCPCS code B4162

Enteral formula specifically formulated for pediatric patients with inherited metabolic diseases.

2025 HCPCS code B4153

Supply of a nutritionally complete enteral formula (100 calories) with hydrolyzed proteins, fats, carbohydrates, vitamins, minerals, and fiber (if needed).

2025 HCPCS code B4100

Food thickener, administered orally, per ounce.

2025 HCPCS code B4149

Supply of manufactured blenderized natural food enteral formula (100 calories/unit).

2025 HCPCS code B4105

In-line cartridge containing digestive enzyme(s) for enteral feeding, each.

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