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HCPCS Code B4176

Official Description

Parenteral nutrition solution; amino acid, 7% through 8.5%, (500 ml = 1 unit) - home mix

Short Descr	Parenteral sol amino acid 7-
Coverage	Special coverage instructions apply
Pricing Indicator(s)	39 – Supplies And Surgical Dressings - Parenteral and Enteral Nutrition
MPI	A – Not applicable, as HCPCS priced under one methodology
CIM	65-10
MCM	2130
BETOS	O1C – Enteral and parenteral
TOS Code(s)	E – Enteral/parenteral nutrients/supplies
Added Date	1/1/1986
APC Status Indicator	Non-Implantable Durable Medical Equipment
MUE	0
MUE	2
IOM	100-02, 15, 120
OTS Orthotic	No
CCS Clinical Classification	223 - Enteral and parenteral nutrition

B4034-B9999 Enteral And Parenteral Therapy

B4164-B5200 Parenteral Nutrition Solutions and Supplies

B4164 Parenteral 50% dextrose solu

B4168 Parenteral sol amino acid 3.

B4172 Parenteral sol amino acid 5.

B4176 Parenteral sol amino acid 7-

B4178 Parenteral sol amino acid >

B4180 Parenteral sol carb > 50%

B4185 Pn soln nos 10 grams lipids

B4187 Omegaven, 10 grams lipids

B4189 Parenteral sol amino acid &

B4193 Parenteral sol 52-73 gm prot

B4197 Parenteral sol 74-100 gm pro

B4199 Parenteral sol > 100gm prote

B4216 Parenteral nutrition additiv

B4220 Parenteral supply kit premix

B4222 Parenteral supply kit homemi

B4224 Parenteral administration ki

B5000 Parenteral sol renal-amirosy

B5100 Parenteral solution hepatic

B5200 Parenteral sol hepatic fream

Date	Action	Notes
1986-01-01	Added	Code added 1/1/1986

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