GUARDIAN ANGELS HOME HEALTH & HOSPICE

Heart Disease

LCD Guidelines

Hospice admission guidelines for heart disease

Criteria 1 & 2 are mandatory, while criteria 3 serves as supplementary documentation.

1. Best Possible Treatment

At certification/recertification, the patient has already received the best possible treatment, is not a surgical candidate, or has declined the procedure. (Not on vasodilators due to valid medical reasons such as hypotension or kidney disease.)

2. NYHA Class IV

Severe heart failure or angina symptoms even at rest, with discomfort at any physical activity. Severe CHF may be documented by an ejection fraction of 20% or lower (not strictly required if unavailable).

3. Supplementary Supporting Evidence (optional)

  • Treatment-resistant arrhythmias
  • History of cardiac arrest or resuscitation
  • History of unexplained syncope
  • Brain embolism of cardiac origin
  • Coexisting HIV infection
Comparative Data

What clinical decline can look like

An illustrative comparison our clinical team may use when assessing disease progression over time.

Activity Level

From attending daily activities to walking only 5 feet.

Breathing Difficulty

Now exhibits pursed-lip breathing and labored breaths.

Increased SOB

Now requires oxygen and can only walk ~15 feet before resting.

Edema & Weight Gain

New edema in feet/ankles; gained 5 lbs in 5 days from fluid retention.

Depression

More withdrawn, no longer participates in activities.

Decreased Intake

Meals down from 100% to 50%, now only 25%.

Comorbidities

Conditions often seen alongside this diagnosis

Always Ready to Help

Our caring team is here to support you and your loved ones, ready to discuss how our services can bring comfort and peace during this time.

Areas We Serve

Proudly serving families across Metro Phoenix

Call us at (480) 565-7558 for inquiries.

Areas We Serve

Proudly serving families across Metro Phoenix

Call us at (480) 565-7558 for inquiries.