B4197 HCPCS - PARENTERAL NUTRITION SOLUTION; COMPOUNDED AMINO ACID AND CARBOHYDRATES WITH ELECTROLYTES, TRACE ELEMENTS AND VITAMINS, INCLUDING PREPARATION, ANY STRENGTH, 74 TO 100 GRAMS OF PROTEIN - PREMIX

Code Information

HCPCS Code: B4197

Sequence Number: 0010

Short Description: Parenteral sol 74-100 gm pro

Long Description: Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix

Code Added Date: 1/1/1988

Action Code: N - No maintenance for this code

Action Effective Date: 1/1/2002

Classification: Enteral and Parenteral Therapy

Coding System: HCPCS

Code Type

Berenson-Eggers Type Of Service Code: O1C - Enteral and parenteral
Type Of Service Code:
  • E - Enteral/parenteral nutrients/supplies (eff 04/95)

Billing Information

Pricing Indicator Code:
  • 39 - Parenteral and Enteral Nutrition
Multiple Pricing Indicator Code: A - Not applicable as HCPCS priced under one methodology
Coverage Issues Manual Reference Section Number:
  • 65-10
Medicare Carriers Manual Reference Section Number:
  • 2130
  • 4450
Coverage Code: D - Special coverage instructions apply

HCPCS Record

Field Name Field Value
Healthcare Common Procedure Coding System Code B4197
HCPCS Sequence Number 0010
HCPCS Record Identification Code 3 - First line of procedure record also contains detail information in positions 92-275
HCPCS Long Description Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of protein - premix
HCPCS Short Description Parenteral sol 74-100 gm pro
HCPCS Pricing Indicator Code 1 39 - Parenteral and Enteral Nutrition
HCPCS Multiple Pricing Indicator Code A - Not applicable as HCPCS priced under one methodology
HCPCS Coverage Issues Manual Reference Section Number 1 65-10
HCPCS Medicare Carriers Manual Reference Section Number 1 2130
HCPCS Medicare Carriers Manual Reference Section Number 2 4450
HCPCS Coverage Code D - Special coverage instructions apply
HCPCS Berenson-Eggers Type Of Service Code O1C - Enteral and parenteral
HCPCS Type Of Service Code 1 E - Enteral/parenteral nutrients/supplies (eff 04/95)
HCPCS Anesthesia Base Unit Quantity 0
HCPCS Code Added Date 1/1/1988
HCPCS Action Effective Date 1/1/2002
HCPCS Action Code N - No maintenance for this code

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This page was last updated on: 1/1/2018