Transcription of 2015 HCPCS Codes for Abbott Nutrition Enteral Formulas
1 2015 HCPCS Codes for Abbott Nutrition Enteral Formulas The Healthcare Common Procedure Coding System Codes are utilized by Medicare for billing purposes. They are also used by many Medicaid and Commercial plans for billing purposes. B4102 Adult hydration Formulas Ensure Clear . B4103 Pediatric hydration Formulas Pedialyte Pedialyte AdvancedCare B4150 General purpose Formulas Ensure Ensure Active High Protein Jevity Cal Osmolite Cal Ensure Original Ensure Muscle Health Jevity Cal Promote . Ensure Heart Health Ensure Powder Osmolite 1 Cal Promote With Fiber Ensure Active Muscle Health B4152 Calorically dense Formulas Ensure Complete Hi-Cal Osmolite Cal Ensure Plus Jevity Cal TwoCal HN. B4153 Hydrolyzed protein elemental Formulas Perative Pivot Cal Vital Cal Vital HN. Vital Cal Vital AF Cal Vital High Protein B4154 Formulas for special metabolic needs Glucerna Cal Glucerna Shake Oxepa Similac PM 60/40.
2 Glucerna Cal Glucerna Hunger Smart Shake Pulmocare Suplena with Carb Steady . Glucerna Cal Nepro with Carb Steady . B4155 Modular nutrients Juven Pro-Phree RCF PediaSure Sidekicks Clear Polycose ProViMin ProMod Liquid Protein Similac Human Milk Fortifier Ensure Active Protein Drink NOTE: Each health care provider office is ultimately responsible for verifying Codes , coverage, and payment policies used for individual patients to ensure that they are accurate and appropriate for the services and items provided. The information provided in this document is taken from Medicare's Pricing, Data Analysis and Coding (PDAC) Contractor website as of February 1, 2015. Abbott assumes no responsibility for omissions, errors, or changes contained therein. 2015 HCPCS Codes for Abbott Nutrition Enteral Formulas B4157 Formulas for special metabolic needs of inherited disease of metabolism Cyclinex -2 I-Valex -2 Phenex -2 Propimex -2.
3 Glutarex -2 Ketonex -2 Phenex -2 Vanilla Tyrex -2. Hominex -2. B4158 Pediatric general purpose Formulas Similac Advance Similac for Spit-Up Similac Go & Grow PediaSure SideKicks .63 Cal Similac Sensitive Similac Organic Similac Total Comfort Similac for Supplementation B4159 Pediatric soy-based Formulas Similac Soy Isomil Similac Expert Care Diarrhea Similac Go & Grow Soy-Based Formula B4160 Pediatric calorically dense Formulas PediaSure PediaSure Cal with Fiber Similac Expert Care NeoSure . PediaSure Cal PediaSure Enteral Formula Cal Similac Special Care 24 with Iron PediaSure Enteral Formula Cal with Fiber Similac Special Care 30 with Iron PediaSure with Fiber B4161 Pediatric Enteral Formulas with hydrolyzed/amino acids and peptide chain proteins EleCare DHA/ARA PediaSure Peptide Cal Similac Expert Care Alimentum . EleCare Jr PediaSure Peptide Cal B4162 Pediatric Formulas for special metabolic needs of inherited disease of metabolism Calcilo XD Hominex -1 Phenex -1.
4 Cyclinex -1 I-Valex -1 Propimex -1. Glutarex -1 Ketonex -1 Tyrex -1. The following products may be used by children (using code B4162) or adults (using code B4157). Cyclinex -2 I-Valex -2 Phenex -2 Vanilla Glutarex -2 Ketonex -2 Propimex -2. Hominex -2 Phenex -2 Tyrex -2. NOTE: Each health care provider office is ultimately responsible for verifying Codes , coverage, and payment policies used for individual patients to ensure that they are accurate and appropriate for the services and items provided. The information provided in this document is taken from Medicare's Pricing, Data Analysis and Coding (PDAC) Contractor website as of February 1, 2015. Abbott assumes no responsibility for omissions, errors, or changes contained therein. 2015 Abbott Laboratories Inc. Abbott Nutrition 2015 Abbott Laboratories LITHO IN USA Columbus, Ohio 43219-3034 USA.
