B4187 HCPCS Level II code: Omegaven, 10 grams lipids
B4187 is the HCPCS code for “Omegaven, 10 grams lipids” in CMS’s October 2026 release, in effect from Oct 1, 2026.
Official description
B4187Omegaven, 10 grams lipids
HCPCS · United States
Notes for B4187
As CMS prints them, with any note B4187 takes from the headings above it.
Note
- CMS processing note 0126: NCD MANUAL 180.2.
Medicare details
The indicators CMS publishes with B4187 in its October 2026 file. They describe Medicare’s handling, not another payer’s.
- Medicare coverage
- Special coverage instructions apply
- Medicare pricing
- DMEPOS fee schedule – Parenteral and Enteral Nutrition
- Type of service
- Enteral/parenteral nutrients/supplies
- BETOS category
- Enteral and parenteral
- Added
- Jan 1, 2020
Where B4187 sits
- 1B codesEnteral and parenteral therapy
- 2Active code B4187Omegaven, 10 grams lipids
Source and release
- Data release
- HCPCS Level II · October 2026
- Effective date
- Oct 1, 2026
- Publisher
- CMS
This page is built from the HCPCS Level II catalog that Vero Codes reads when it suggests codes: Centers for Medicare & Medicaid Services’s October 2026 release, imported from the publisher’s file and checked against it. The description, notes and structured data come from the same record.
Frequently asked questions
What does HCPCS code B4187 mean?
B4187 is the HCPCS code for “Omegaven, 10 grams lipids” in CMS’s HCPCS Level II October 2026 release.
Does Medicare cover B4187?
CMS lists B4187’s Medicare coverage as “Special coverage instructions apply” and its pricing as “DMEPOS fee schedule – Parenteral and Enteral Nutrition”. Coverage and payment still depend on the patient, the setting, the documentation and the payer.
Which HCPCS Level II release does this page use?
It uses CMS’s October 2026 release, in effect from Oct 1, 2026 to Dec 31, 2026. It is a reference: confirm the code against the current list and the payer’s rules before you submit it.
Codes beside B4187
All B codesB4168Parenteral nutrition solution; amino acid, 3.5%, (500 ml = 1 unit) - home mixB4172Parenteral nutrition solution; amino acid, 5.5% through 7%, (500 ml = 1 unit) - home mixB4176Parenteral nutrition solution; amino acid, 7% through 8.5%, (500 ml = 1 unit) - home mixB4178Parenteral nutrition solution: amino acid, greater than 8.5% (500 ml = 1 unit) - home mixB4180Parenteral nutrition solution; carbohydrates (dextrose), greater than 50% (500 ml = 1 unit) - home mixB4185Parenteral nutrition solution, not otherwise specified, 10 grams lipidsB4189Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 10 to 51 grams of…B4193Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of…B4197Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, 74 to 100 grams of…B4199Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements and vitamins, including preparation, any strength, over 100 grams of…B4216Parenteral nutrition; additives (vitamins, trace elements, heparin, electrolytes), home mix, per dayB4220Parenteral nutrition supply kit; premix, per day