B4155 Insurance Policy Changes

HCPCS B4155 is officially defined as "Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit." HCPCS B4155 is referenced in 2 tracked payer policy changes from Nebraska Medicaid and Oregon Health Plan. For billers and coders, staying current on payer-specific coverage criteria, reimbursement rules, and prior-authorization requirements for HCPCS B4155 is critical to clean claim submission. Each entry below links to the full policy analysis with effective dates and action steps.