Emergency: 119
AMDA-IMIC

Section B: Enteral and Parenteral Therapy

50 procedure codes. CMS quarterly release — October 2026.

HCPCS Level II codes are updated quarterly by CMS. This listing reflects the October 2026 quarterly release.
Code Description Pricing
B4034 Enter feed supkit syr by day 39
B4035 Enteral feed supp pump per d 39
B4036 Enteral feed sup kit grav by 39
B4081 Enteral ng tubing w/ stylet 39
B4082 Enteral ng tubing w/o stylet 39
B4083 Enteral stomach tube levine 39
B4087 Gastro/jejuno tube, std 39
B4088 Gastro/jejuno tube, low-pro 39
B4100 Food thickener oral 00
B4102 Ef adult fluids and electro 39
B4103 Ef ped fluid and electrolyte 46
B4104 Additive for enteral formula 00
B4105 Enzyme cartridge enteral nut 39
B4148 Enteral feed elastomer daily 39
B4149 Ef blenderized foods 39
B4150 Ef complet w/intact nutrient 39
B4152 Ef calorie dense>/=1.5kcal 39
B4153 Ef hydrolyzed/amino acids 39
B4154 Ef spec metabolic noninherit 39
B4155 Ef incomplete/modular 39
B4157 Ef special metabolic inherit 39
B4158 Ef ped complete intact nut 46
B4159 Ef ped complete soy based 46
B4160 Ef ped caloric dense>/=0.7kc 46
B4161 Ef ped hydrolyzed/amino acid 46
B4162 Ef ped specmetabolic inherit 46
B4164 Parenteral 50% dextrose solu 39
B4168 Parenteral sol amino acid 3. 39
B4172 Parenteral sol amino acid 5. 39
B4176 Parenteral sol amino acid 7- 39
B4178 Parenteral sol amino acid > 39
B4180 Parenteral sol carb > 50% 39
B4185 Pn soln nos 10 grams lipids 39
B4187 Omegaven, 10 grams lipids 39
B4189 Parenteral sol amino acid & 39
B4193 Parenteral sol 52-73 gm prot 39
B4197 Parenteral sol 74-100 gm pro 39
B4199 Parenteral sol > 100gm prote 39
B4216 Parenteral nutrition additiv 39
B4220 Parenteral supply kit premix 39
B4222 Parenteral supply kit homemi 39
B4224 Parenteral administration ki 39
B5000 Parenteral sol renal-amirosy 39
B5100 Parenteral solution hepatic 39
B5200 Parenteral sol hepatic fream 39
B9002 Enter nutr inf pump any type 39
B9004 Parenteral infus pump portab 39
B9006 Parenteral infus pump statio 39
B9998 Enteral supp not otherwise c 57
B9999 Parenteral supp not othrws c 57

Last reviewed: September 2026