HCPCS code B4152: Enteral formula, nutritionally complete, 100 calories

Better understand how to properly use and bill for HCPCS code B4152 with our short guide that has a list of documentation and billing requirements.

Use Code

Frequently asked questions

Most payers, including Medicare, consider oral enteral nutrition to be a non-covered service unless specific, limited circumstances apply. The BO modifier (orally administered enteral nutrition) is used to indicate this.

One unit equals 100 calories. To determine the units, you divide the total calories by 100. For example, a 1-liter container of a 1.5 kcal/ml formula has 1,500 calories. This would be billed as 15 units.

The requirement for a CMN or DIF varies. While some payers may still use these forms, Medicare has eliminated the requirement for them on most claims for dates of service after January 1, 2023. However, all the information that would have been on these forms must still be present in the patient's medical record.