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HCPCS B codes: Enteral and parenteral therapy

50 active HCPCS Level II codes beginning with B, from the CMS October 2026 quarterly file. "Added" is the year the code first appeared in the HCPCS file.

CodeLong descriptionShort descriptionAdded
B4034Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tapeEnter feed supkit syr by day1986
B4035Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tapeEnteral feed supp pump per d1986
B4036Enteral feeding supply kit; gravity fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tapeEnteral feed sup kit grav by1986
B4081Nasogastric tubing with styletEnteral ng tubing w/ stylet1986
B4082Nasogastric tubing without styletEnteral ng tubing w/o stylet1986
B4083Stomach tube - levine typeEnteral stomach tube levine1986
B4087Gastrostomy/jejunostomy tube, standard, any material, any type, eachGastro/jejuno tube, std2008
B4088Gastrostomy/jejunostomy tube, low-profile, any material, any type, eachGastro/jejuno tube, low-pro2008
B4100Food thickener, administered orally, per ounceFood thickener oral2003
B4102Enteral formula, for adults, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unitEf adult fluids and electro2005
B4103Enteral formula, for pediatrics, used to replace fluids and electrolytes (e.g., clear liquids), 500 ml = 1 unitEf ped fluid and electrolyte2005
B4104Additive for enteral formula (e.g., fiber)Additive for enteral formula2005
B4105In-line cartridge containing digestive enzyme(s) for enteral feeding, eachEnzyme cartridge enteral nut2019
B4148Enteral feeding supply kit; elastomeric control fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tapeEnteral feed elastomer daily2023
B4149Enteral 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 unitEf blenderized foods2005
B4150Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unitEf complet w/intact nutrient1986
B4152Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unitEf calorie dense>/=1.5kcal1984
B4153Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unitEf hydrolyzed/amino acids1986
B4154Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unitEf spec metabolic noninherit1984
B4155Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unitEf incomplete/modular1986
B4157Enteral formula, nutritionally complete, for special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unitEf special metabolic inherit2005
B4158Enteral formula, for pediatrics, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unitEf ped complete intact nut2005
B4159Enteral formula, for pediatrics, nutritionally complete soy based with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber and/or iron, administered through an enteral feeding tube, 100 calories = 1 unitEf ped complete soy based2005
B4160Enteral formula, for pediatrics, nutritionally complete calorically dense (equal to or greater than 0.7 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unitEf ped caloric dense>/=0.7kc2005
B4161Enteral formula, for pediatrics, hydrolyzed/amino acids and peptide chain proteins, includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unitEf ped hydrolyzed/amino acid2005
B4162Enteral formula, for pediatrics, special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unitEf ped specmetabolic inherit2005
B4164Parenteral nutrition solution: carbohydrates (dextrose), 50% or less (500 ml = 1 unit) - home mixParenteral 50% dextrose solu1986
B4168Parenteral nutrition solution; amino acid, 3.5%, (500 ml = 1 unit) - home mixParenteral sol amino acid 3.1984
B4172Parenteral nutrition solution; amino acid, 5.5% through 7%, (500 ml = 1 unit) - home mixParenteral sol amino acid 5.1984
B4176Parenteral nutrition solution; amino acid, 7% through 8.5%, (500 ml = 1 unit) - home mixParenteral sol amino acid 7-1986
B4178Parenteral nutrition solution: amino acid, greater than 8.5% (500 ml = 1 unit) - home mixParenteral sol amino acid >1988
B4180Parenteral nutrition solution; carbohydrates (dextrose), greater than 50% (500 ml = 1 unit) - home mixParenteral sol carb > 50%1986
B4185Parenteral nutrition solution, not otherwise specified, 10 grams lipidsPn soln nos 10 grams lipids2006
B4187Omegaven, 10 grams lipidsOmegaven, 10 grams lipids2020
B4189Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premixParenteral sol amino acid &1988
B4193Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premixParenteral sol 52-73 gm prot1988
B4197Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premixParenteral sol 74-100 gm pro1988
B4199Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premixParenteral sol > 100gm prote1988
B4216Parenteral nutrition; additives (vitamins, trace elements, heparin, electrolytes), home mix, per dayParenteral nutrition additiv1984
B4220Parenteral nutrition supply kit; premix, per dayParenteral supply kit premix1984
B4222Parenteral nutrition supply kit; home mix, per dayParenteral supply kit homemi1986
B4224Parenteral nutrition administration kit, per dayParenteral administration ki1986
B5000Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, renal-aminosyn-rf, nephramine, renamine-premixParenteral sol renal-amirosy1988
B5100Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, hepatic, hepatamine-premixParenteral solution hepatic1988
B5200Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, stress-branch chain amino acids-freamine-hbc-premixParenteral sol hepatic fream1988
B9002Enteral nutrition infusion pump, any typeEnter nutr inf pump any type1988
B9004Parenteral nutrition infusion pump, portableParenteral infus pump portab1988
B9006Parenteral nutrition infusion pump, stationaryParenteral infus pump statio1988
B9998Noc for enteral suppliesEnteral supp not otherwise c1985
B9999Noc for parenteral suppliesParenteral supp not othrws c1985
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