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2009 ICD-9-CM
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| HCPC | B4152 |
| LongDesc | ENTERAL FORMULA, NUTRITIONALLY COMPLETE, CALORICALLY DENSE (EQUAL TO OR GREATER |
| LongDesc | THAN 1.5 KCAL/ML) WITH INTACT NUTRIENTS, INCLUDES PROTEINS, FATS, |
| LongDesc | CARBOHYDRATES, VITAMINS AND MINERALS, MAY INCLUDE FIBER, ADMINISTERED THROUGH |
| LongDesc | AN ENTERAL FEEDING TUBE, 100 CALORIES = 1 UNIT |
| SeqNum | 001 |
| RIC | 003 |
| ShortDesc | EF calorie dense>/=1.5Kcal |
| PI1 | 39 |
| PI2 | |
| PI3 | |
| PI4 | |
| MPI | A |
| CIM1 | 65-10 |
| CIM2 | |
| CIM3 | |
| MCM1 | 2130 |
| MCM2 | 4450 |
| MCM3 | |
| Statute | |
| LabCert1 | |
| LabCert2 | |
| LabCert3 | |
| LabCert4 | |
| LabCert5 | |
| LabCert6 | |
| LabCert7 | |
| LabCert8 | |
| XRef1 | |
| XRef2 | |
| XRef3 | |
| XRef4 | |
| XRef5 | |
| Cov | D |
| ASCPayGrp | |
| ASCPayGrpEffDate | |
| MOGPayGrp | |
| MOGPayInd | |
| MOGEffDate | |
| ProcNote | |
| BETOS | O1C |
| Filler | |
| TOS1 | E |
| TOS2 | |
| TOS3 | |
| TOS4 | |
| TOS5 | |
| AnestBaseUnits | 0 |
| CodeAddDate | 19840101 |
| ActionEffDate | 20050101 |
| TermDate | |
| ActionCode | N |