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HCPCS Range Parenteral Solutions and Supplies

• 1 Parenteral nutrition solution: carbohydrates (dextrose), 50% or less (500 ml = 1 unit) - homemix ( B4164 )

• 2 Parenteral nutrition solution; amino acid, 3.5%, (500 ml = 1 unit) - homemix ( B4168 )

• 3 Parenteral nutrition solution; amino acid, 5.5% through 7%, (500 ml = 1 unit) - homemix ( B4172 )

• 4 Parenteral nutrition solution; amino acid, 7% through 8.5%, (500 ml = 1 unit) - homemix ( B4176 )

• 5 Parenteral nutrition solution: amino acid, greater than 8.5% (500 ml = 1 unit) - homemix ( B4178 )

• 6 Parenteral nutrition solution; carbohydrates (dextrose), greater than 50% (500 ml=1 unit) - homemix ( B4180 )

• 7 Parenteral nutrition solution, not otherwise specified, 10 grams lipids ( B4185 )

• 8 Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of protein - premix ( B4189 )

• 9 Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix ( B4193 )

• 10 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 ( B4197 )

• 11 Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of protein - premix ( B4199 )

• 12 Parenteral nutrition; additives (vitamins, trace elements, heparin, electrolytes) homemix per day ( B4216 )

• 13 Parenteral nutrition supply kit; premix, per day ( B4220 )

• 14 Parenteral nutrition supply kit; home mix, per day ( B4222 )

• 15 Parenteral nutrition administration kit, per day ( B4224 )

• 16 Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, renal-Amirosyn RF, NephrAmine, RenAmine-premix ( B5000 )

• 17 Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, hepatic, HepAtamine-premix ( B5100 )

• 18 Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, stress-branch chain amino acids-freamine-hbc-premix ( B5200 )

• 19 Omegaven, 10 grams lipids ( B4187 )