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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
HCPCS code
Similar Codes
ICD10CM codes
R63.32
- Pediatric feeding disorder, chronic
R63.31
- Pediatric feeding disorder, acute
F98.2
- Other feeding disorders of infancy and childhood
F98.29
- Other feeding disorders of infancy and early childhood
Z13.21
- Encounter for screening for nutritional disorder
E41
- Nutritional marasmus
E44.1
- Mild protein-calorie malnutrition
E46
- Unspecified protein-calorie malnutrition
E43
- Unspecified severe protein-calorie malnutrition
Z13.2
- Encounter for screening for nutritional, metabolic and other endocrine disorders
HCPCS codes
B4158
- Enteral formula, for pediatrics, nutritionally complete with intact nutrients, includes proteins, fa
B4159
- Enteral formula, for pediatrics, nutritionally complete soy based with intact nutrients, includes pr
B4150
- Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrate
B4160
- Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than
B4161
- Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, c
B4162
- Enteral formula, for pediatrics, special metabolic needs for inherited disease of metabolism, includ
B4152
- Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) wi
B4153
- Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includ
B4157
- Enteral formula, nutritionally complete, for special metabolic needs for inherited disease of metabo
B4149
- Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fa
CPT4 codes
4058F
- Pediatric gastroenteritis education provided to caregiver (PAG)
6015F
- Patient receiving or eligible to receive foods, fluids, or medication by mouth (STR)
44015
- Tube or needle catheter jejunostomy for enteral alimentation, intraoperative, any method (List separ
90954
- End-stage renal disease (ESRD) related services monthly, for patients 2-11 years of age to include m
90956
- End-stage renal disease (ESRD) related services monthly, for patients 2-11 years of age to include m
82715
- Fat differential, feces, quantitative
90955
- End-stage renal disease (ESRD) related services monthly, for patients 2-11 years of age to include m
43761
- Repositioning of a naso- or oro-gastric feeding tube, through the duodenum for enteric nutrition
84591
- Vitamin, not otherwise specified
4551F
- Nutritional support offered (ALS)