Effective August 29, 2026, the Office of Workers’ Compensation Programs (OWCP) Division of Energy Employees Occupational Illness Compensation (DEEOIC) will implement a new Utilization Review (UR) for enteral nutrition.
| EOB Number | Applicable Procedure Codes | New Utilization Review |
|---|---|---|
| 80461 | B4034, B4035, B4036, B4148 | Feeding supply kit limited to 51 units per 30 days |
| 80462 | B4081, B4082, B4083, B4087, B4088 | Enteral tubing limited to 3 units per 90 days |
| 80463 | B4100 | Food thickener limited to 96 units per 30 days |
| 80464 | B4149, B4150, B4152, B4153, B4154, B4155, B4157, B4158, B4159, B4160, B4161, B4162 | Enteral nutrition formulas limited to 1050 units per 30 days |
| 80467 | B4105 | Service is limited to 93 units per 30 days |
In addition, the following procedure codes will be added to existing utilization review:
| EOB Number | Additional Applicable Procedure Codes | Utilization Review |
|---|---|---|
| 80444 | B9002, E0776 | DME limited to 1 unit per 1825 days |
For questions, contact our Call Center at the applicable phone number listed below, where a representative will be happy to assist you.
Division of Energy Employees Occupational Illness Compensation (DEEOIC):
1-866-272-2682