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HCPCS Codes for Abbott Nutrition Enteral Formulas

HCPCS Codes for Abbott Nutrition Enteral FormulasB4102 Enteral Formula, for Adults, Used to Replace Fluids and Electrolytes ( Clear Liquids)Ensure ClearEnsure Pre-SurgeryB4103 Enteral Formula, for Pediatrics, Used to Replace Fluids and Electrolytes ( Clear Liquids)Ensure ClearPedialyte AdvancedCare B4149 Enteral Formula, Manufactured Blenderized Natural Foods With Intact NutrientsPediaSure Harvest Ensure Harvest B4150 Enteral Formula, Nutritionally Complete With Intact NutrientsEnsure OriginalEnsure Compact Ensure High ProteinEnsure PowderJevity CalJevity CalOsmolite 1 CalOsmolite Cal Promote Promote With FiberB4152 Enteral Formula, Nutritionally Complete, Calorically Dense (Equal to or Greater Than Kcal/Ml) With Intact NutrientsEnsure Enlive Ensure PlusHi-CalJevity CalOsmolite CalTwoCal HNB4153 Enteral Formula, Nutritionally Complete, Hydrolyzed Proteins (Amino Acids And Peptide Chain)Perative Pivot CalVital CalVital AF CalVital CalVital High Protein B4154 Enteral Formula, Nutritionally Complete, for Special Metabolic Needs, Excludes Inherited Disease of MetabolismGlucerna CalGlucerna Ca

HCPCS Codes for Abbott Nutrition Enteral Formulas B4102 Enteral Formula, for Adults, Used to Replace Fluids and Electrolytes (E.g. Clear Liquids) Ensure® Clear Ensure® Pre-Surgery B4103 Enteral Formula, for Pediatrics, Used to Replace Fluids and Electrolytes (E.g. Clear Liquids) Ensure® Clear Pedialyte AdvancedCare®

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