Intradialytic parenteral nutrition as an adjunct to hemodialysis may be considered medically necessary when it is offered as an alternative to a regularly scheduled regimen of total parenteral nutrition only in individuals who would be considered candidates for total parenteral nutrition (see Policy Guidelines).
Intradialytic parenteral nutrition is considered investigational in individuals who would be considered a candidate for total parenteral nutrition, but for whom intradialytic parenteral nutrition is not offered as an alternative to total parenteral nutrition, but in addition to regularly scheduled infusions to total parenteral nutrition.
Intradialytic parenteral nutrition as an adjunct to hemodialysis is considered investigational in individuals who would not otherwise be considered candidates for total parenteral nutrition.
