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B4162

Ef ped specmetabolic inherit

Enteral formula, for pediatrics, special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit

Code system
HCPCS Level II
Status
Active
Billable
Yes
In effect from
2005-01-01
Request
curl https://api.healthcare.dev/v1/codes/hcpcs/B4162 \
  -H "Authorization: Bearer $HDEV_API_KEY"
200 OK · application/json
{
  "data": {
    "code": "B4162",
    "parent": null,
    "status": "active",
    "system": "hcpcs",
    "display": "Ef ped specmetabolic inherit",
    "billable": true,
    "attributes": {
      "betos": "O1C",
      "coverage": "D",
      "action_code": "N",
      "type_of_service": "E",
      "pricing_indicator": "46",
      "action_effective_date": "2005-01-01"
    },
    "description": "Enteral formula, for pediatrics, special metabolic needs for inherited disease of metabolism, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit",
    "replaced_by": [],
    "effective_end": null,
    "effective_start": "2005-01-01",
    "care_categories": [
      "nutrition-therapy"
    ],
    "care_category_details": [
      {
        "slug": "nutrition-therapy",
        "name": "Nutrition therapy and tube feeding",
        "confidence": 0.9,
        "derivation": "source_stated",
        "evidence": [
          {
            "url": "https://www.cms.gov/medicare/coding-billing/healthcare-common-procedure-system/quarterly-update",
            "anchor": "HCPCS Level II range B4000-B9999"
          }
        ],
        "as_of": "2026-10-01T00:00:00.000Z"
      }
    ]
  },
  "meta": {
    "source": "cms-hcpcs",
    "data_version": "2026-10"
  }
}

CMS attributes

B4162 in the HCPCS file

betos
O1C
coverage
D
action code
N
type of service
E
pricing indicator
46
action effective date
2005-01-01

Change history

Lifecycle

B4162 has been in effect since 2005-01-01. This page shows HCPCS Level II release 2026-10.

Add as_of=YYYY-MM-DD to the request to get this code exactly as it was on a past date. The change feed (GET /v1/changes) lists what each release added, changed or retired across the whole dataset; a per-code change list isn't published yet.

Use it

Look up B4162 from code or an agent

curl
curl https://api.healthcare.dev/v1/codes/hcpcs/B4162 \
  -H "Authorization: Bearer $HDEV_API_KEY"
MCP prompt
Using the healthcare.dev MCP server, look up HCPCS Level II code B4162. Tell me what it covers, whether it is active and since when, and any CMS attributes it has.

Source: CMS, release 2026-10. Public domain (D-series CDT codes excluded). Reference data, not medical or billing advice.