HCPCS Code B4104

Additive for enteral formula (e.g., fiber)
Code effective Jan 01, 2005

HCPCS Section
Enteral and Parenteral Therapy

B4104 is a valid 2026 HCPCS code meaning Additive for enteral formula (e.g., fiber) or (Additive for enteral formula) for short. HCPCS B4104 has been effective since 01/01/2005 and applies to Enteral/parenteral nutrients/supplies.

HCPCS Code Details - B4104

HCPCS Level II Code
Section B - Enteral and Parenteral Therapy
HCPCS Code B4104
Description

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

Short description:
Additive for enteral formula

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
Effective date Effective Jan 01, 2005
Date added Added Jan 01, 2005

See also

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

  • HCPCS B4105 · In-line cartridge containing digestive enzyme(s) for enteral feeding, each

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”

HCPCS Level II codes and descriptors are approved and maintained jointly by the alpha-numeric editorial panel (consisting of CMS, the Health Insurance Association of America, and the Blue Cross and Blue Shield Association). — Updated 6/23/2026

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