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Weight loss of at least 10% body weight in the prior 6 months, not due to reversible causes (eg, depression or use of diuretics) Decreasing anthropomorphic measurements (mid-arm circumference, abdominal girth), not due to reversible causes (eg, depression or use of diuretics)
An LCD is a determination by a Medicare Administrative Contractor (MAC) whether to cover a particular service on a. Coverage criteria is defined within each LCD , including: lists of HCPCS codes, codes for which the service is covered or considered not reasonable and necessary.
Decline in clinical status guidelines. Patients will be considered to have a life expectancy of six months or less if there is documented evidence of decline in clinical status based on the guidelines listed below.
Description. LCD. A Local Coverage Determination (LCD) is a decision made by a Medicare Administrative Contractor (MAC) on whether a particular. service or item is reasonable and necessary, and therefore covered by Medicare within the specific jurisdiction that the MAC oversees.
Local Coverage Determinations | CMS.
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The adult failure to thrive (FTT) syndrome is characterized by unexplained weight loss, malnutrition and disability. The syndrome has been associated with multiple primary conditions (e.g., infections and malignancies), but always includes 2 defining clinical elements, namely nutritional impairment and disability.
Poor nutritional with inability to maintain sufficient fluid and caloric intake with either: - 10% weight loss over the previous six months - 7.5% weight loss over the previous three months - Serum albumin
Weight loss of at least 10% body weight in the prior 6 months, not due to reversible causes (eg, depression or use of diuretics) Decreasing anthropomorphic measurements (mid-arm circumference, abdominal girth), not due to reversible causes (eg, depression or use of diuretics)

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