BlueCross BlueShield of Tennessee Medical Policy Manual

Nutritional

• Complementary and Alternative Medicine

• Home Nutritional Support (Total Parenteral/Enteral Nutrition)

• Intensive Outpatient Pediatric Feeding Program

• Minimally Invasive Endoscopic Procedures for Weight Loss

• Nutritional Treatment of Inborn Errors of Metabolism

• Whole Body Dual X-Ray Absorptiometry (DEXA) to Determine Body Composition

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