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...Clinical policy oral enteral nutrition reference number wa cp mp coding implications date of last revision log effective see important reminder at the end this for regulatory and legal information description describes medical necessity guidelines total parenteral intradialytic criteria i it is coordinated care washington inc in accordance with health authority that considered medically necessary as noted a modifier bo must meet all member age or younger b diagnosis support s need orally administered product demonstrated through one more following diagnoses dysphagia oropharyngeal pharyngeal ii failure to thrive feeding difficulties only applicable toward if underlying behavioral cause has already been identified addressed iii inherited metabolic disorders amino acid fatty carbohydrate including phenylketonuria pku c required treat conditions when no equally less costly alternative available client condition d requires than months transition diet traditional food products which can be ...