HCPCS Code Details - B4104

2017 HCPCS Level II Code
Enteral and Parenteral Therapy
HCPCS Code B4104
Description

Long description:
Additive for enteral formula (e.g., fiber)

Short description:
Additive for enteral formula

HCPCS Modifier1
HCPCS Pricing indicator 00 - Physician Fee Schedule And Non-Physician Practitioners - Service not separately priced by part B (e.g., services not covered, bundled, used by Part A only, etc.)
Multiple pricing indicator 9 - Not applicable as HCPCS not priced separately by part B or value is not established
Coverage code D - Special coverage instructions apply
BETOS2 code O1C - Enteral and parenteral
HCPCS Action code N - No maintenance for this code
Type of service E - Enteral/parenteral nutrients/supplies (eff 04/95)
Effective date Effective Jan 01, 2005
Date added Jan 01, 2005
HCPCS Coding Procedures

HCPCS Modifiers

In HCPCS Level II, modifiers are composed of two alpha or alphanumeric characters.

Example: E0260-NU - Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress
NU” identifies the hospital bed as new equipment

See also

  • HCPCS B4103 · Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unit

  • HCPCS 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


1 Two-digit numeric codes are Level I code modifiers copyrighted© by the American Medical Association's Current Procedural Terminology (CPT).

2 BETOS stands for “Berenson-Eggers Type Of Service”