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Procedure Codes
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HCPCS Level II
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Enteral and Parenteral Therapy
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B4034–B4224
B4185
Parenteral nutrition solution, not otherwise specified, 10 grams lipids
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B4034
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape
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B4035
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape
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B4036
Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape
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B4081
Nasogastric tubing with stylet
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B4082
Nasogastric tubing without stylet
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B4083
Stomach tube - levine type
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B4087
Gastrostomy/jejunostomy tube, standard, any material, any type, each
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B4088
Gastrostomy/jejunostomy tube, low-profile, any material, any type, each
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B4100
Food thickener, administered orally, per ounce
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B4102
Enteral formula, for adults, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit
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B4103
Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit
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B4104
Additive for enteral formula (e.g., fiber)
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B4105
In-line cartridge containing digestive enzyme(s) for enteral feeding, each
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B4148
Enteral feeding supply kit; elastomeric control fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape
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B4149
Enteral formula, manufactured blenderized natural foods with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
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B4150
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
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B4152
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
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B4153
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
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B4154
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
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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
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B4157
Enteral formula, nutritionally complete, for 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
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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
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B4159
Enteral formula, for pediatrics, nutritionally complete soy based 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
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B4160
Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit
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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
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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
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B4164
Parenteral nutrition solution: carbohydrates (dextrose), 50% or less (500 ml = 1 unit) - home mix
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B4168
Parenteral nutrition solution; amino acid, 3.5%, (500 ml = 1 unit) - home mix
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B4172
Parenteral nutrition solution; amino acid, 5.5% through 7%, (500 ml = 1 unit) - home mix
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B4176
Parenteral nutrition solution; amino acid, 7% through 8.5%, (500 ml = 1 unit) - home mix
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B4178
Parenteral nutrition solution: amino acid, greater than 8.5% (500 ml = 1 unit) - home mix
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B4180
Parenteral nutrition solution; carbohydrates (dextrose), greater than 50% (500 ml = 1 unit) - home mix
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B4185
Parenteral nutrition solution, not otherwise specified, 10 grams lipids
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B4187
Omegaven, 10 grams lipids
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B4189
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix
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B4193
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix
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B4197
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix
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B4199
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix
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B4216
Parenteral nutrition; additives (vitamins, trace elements, heparin, electrolytes), home mix, per day
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B4220
Parenteral nutrition supply kit; premix, per day
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B4222
Parenteral nutrition supply kit; home mix, per day
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B4224
Parenteral nutrition administration kit, per day
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Procedure code
CODABLE
B4185
Parenteral nutrition solution, not otherwise specified, 10 grams lipids
CODING INFORMATION
NCD MANUAL 180.2.
Part
HCPCS Level II
B
Enteral and Parenteral Therapy
B4
B4034–B4224
Source
CMS — ICD-10-PCS FY2026, HCPCS Level II october 2026, Procedure Codes 2026.
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