B4148 Enteral feed elastomer daily

Enteral feeding supply kit; elastomeric control fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape

Medically Unlikely Edits (effective October 1, 2026)

Medicare pricing for B4148

PEN fee schedule, January 2026 (DME26-A)

Payer policies and prior authorization for B4148

Payer coverage policies that name B4148

B4148 appears in 7 coverage policies from Aetna, Anthem, Blue Cross Blue Shield of Massachusetts, BlueCross BlueShield of South Carolina, Health Care Service Corporation (BCBS IL, TX, OK, NM, MT), Regence.

PayerPolicyRole in policyReviewedDocument
AetnaNutritional Support (0061)
Enteral lactoferrin supplementation		covered if criteria are met (range B4102-B9999)Jan 15, 2026payer document
AetnaPediatric Intensive Feeding Programs (0809)listed, no stance (range B4034-B4162)Dec 11, 2025payer document
AnthemHome Enteral Nutrition (CG-MED-08)covered if criteria are metAug 13, 2026payer document
Blue Cross Blue Shield of MassachusettsSpecial Foods (304)listed, no stancepayer document
BlueCross BlueShield of South CarolinaTotal Parenteral Nutrition and Enteral Nutrition in the Home (CAM 10201)
997.40 | Digestive system complication (*this code should be accompanied by a code to identify the specific condition)		listed, no stance (range B4102-B4162)Jun 1, 2026payer document
Health Care Service Corporation (BCBS IL, TX, OK, NM, MT)Nutritional Support (MED201.011)
HCPCS Codes B4034, B4035, B4036, B4081, B4082, B4083, B4087, B4088, B4102,		listed, no stanceJan 1, 2026payer document
RegenceEnteral and Oral Nutrition Therapy in the Home Setting (Allied Health 05)listed, no stanceMar 1, 2026payer document

Medicaid fee-for-service

Prior authorization required or conditional in IN, MA, OH.

  • AZ: $9.43 (dme), effective Oct 1, 2026
  • IN: $5.98 (professional, Advanced Practice Nurse (85%), non-facility), effective Jan 1, 2026
  • OH: $7.00 (dme), effective Oct 1, 2023
  • VT: $10.08 (outpatient_hospital_opps), effective Feb 1, 2026
  • WY: $0.00 (outpatient_hospital_apc, Children's Hospitals), effective Apr 1, 2026

From payers' published prior-auth lists, coverage policies and state Medicaid fee schedules, updated Oct 16, 2026. The role is what the policy's own code table or text says about the code. Not a guarantee of coverage or payment; verify with the payer. CPT® is a registered trademark of the American Medical Association.