B4105

Short Description

• Enzyme cartridge enteral nut

HCPCS Coverage Code

• C = Carrier judgment

HCPCS Action Code

• N = No maintenance for this code

HCPCS Action Effective Date

• January 01, 2019

HCPCS Code Added Date

• January 01, 2019

HCPCS Pricing Indicator Code

• 39 = Parenteral and Enteral Nutrition

HCPCS Multiple Pricing Indicator Code

• A = Not applicable as HCPCS priced under one methodology

HCPCS Cross Reference Code

• Q9994

HCPCS Type Of Service Code

• E = Enteral/parenteral nutrients/supplies (eff 04/95)

HCPCS Anesthesia Base Unit Quantity

• 0