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Foreign passport that contains a Patients with Medicare Part A can get hospice care benefits if they meet the following criteria: After certification, the patient may elect the hospice benefit for: All hospice care and services offered to patients and their families must follow an individualized written plan of care (POC) that meets the patients needs. Heres how you know. For the hospice community, which is committed to equity and access, these figures show significant progress over the last two decades as well as a need for continued improvement. Revised February 2022 . As of January 1, 2021, participating Medicare Advantage Organizations can include the Medicare hospice benefit in their Part A benefits package. Usually, hospice care is offered in the home, or sometimes in a nursing home. Treasure Island (FL): StatPearls Publishing; 2022 Jan. 03/18/2020 : 114 An announcement was also made at the September 2017 ICD-10 Coordination and Maintenance Committee meeting that FY 2018 would be the last GEMs file update. von Gunten CF, Sloan PA, Portenoy RK, Schonwetter RS; Trustees of the American Board of Hospice and Palliative Medicine. Diagnosis Codes That Cannot Be Used As . Condition Code (FL 18-28) H2 Discharge for cause (i.e. Mayo Clin Proc. lock In: StatPearls [Internet]. A41.9 Sepsis, unspecified organism. In: StatPearls [Internet]. Encounter for palliative care. After the second, 90-day period, the recertification associated with a hospice patients third benefit period, and every subsequent recertification, must include documentation that a hospice physician or a hospice nurse practitioner had a face-to-face (FTF) encounter with the patient. 2017 Apr;15(2):168-175. In: StatPearls [Internet]. 2009 Jul;54(1):94-102. doi: 10.1016/j.annemergmed.2008.11.019. PDGM ICD Lookup. Physicians and admissions coordinators at our local programs are available for consultation. CMS requests coding of all current diagnoses in the documentation. The list is not complete - the ICD-10-CM book should be referenced for a complete list of codes. However, that has shifted dramatically over the last decade. This website collects and uses cookies to ensure you have the best user experience. In: StatPearls [Internet]. Abt Associates, under contract with CMS, is currently recruiting a wide range of hospice stakeholders, including providers, patient advocates, national and state associations, other hospice staff members, and patients and caregivers for participation in a TEP to contribute feedback and thoughtful input during SFP development. 433 0 obj <> endobj These 2020 ICD-10-CM codes are to be used for discharges occurring from October 1, 2019 through September 30, 2020 and for patient encounters occurring from October 1, 2019 through September 30, 2020. As noted earlier, CMS has consistently updated its approach to hospice-appropriate diagnoses. Maternal care for high head at term. In essence, most patients have multiple conditions, which could potentially be hospice-appropriate diagnoses. endstream endobj 434 0 obj <>/Metadata 20 0 R/Names 456 0 R/Outlines 36 0 R/Pages 429 0 R/StructTreeRoot 37 0 R/Type/Catalog/ViewerPreferences 457 0 R>> endobj 435 0 obj <>/MediaBox[0 0 612 792]/Parent 429 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 13/Tabs/S/Type/Page>> endobj 436 0 obj <>stream endstream endobj startxref Diagnosis code(s) are required when submitting request for hosp Using Admission Karnofsky Performance Status as a Guide for Palliative Care Discharge Needs. The 2023 edition of ICD-10-CM Z51.5 became effective on October 1, 2022. Variations Among Physicians in Hospice Referrals of Patients With Advanced Cancer. Debility, adult failure to thrive, and any other diagnosis in the Symptoms, Signs, and Ill-defined Conditions category may not be used as a primary diagnosis for hospice. Hospice is a medical service based on a holistic approach to providing quality end-of-life care to patients. Diagnosis: Survival with Hospice : Survival without Hospice: CHF: 402 Days: 321 Days: Lung Cancer: 279 Days: 240 Days: Pancreatic Cancer: 210 Days: 189 Days: Colon Cancer: 414 Days: . 2017 Feb;92(2):280-286. The hospice program must offer and arrange these services. 100-04, Chapter 11, Section 30.3 Claim Change Reason Code (CCRC) (FL 18-28) & Adjustment Reason Code (ARC . patient/staff safety) 52 Discharge for patient unavailability, inability to receive care, or out of service area 85 Delayed recertification of hospice terminal illness (effective for claims received on or after 1/1/2017) CMS Pub. Alexandria, Virginia 22314, 2023 National Hospice and Palliative Care Organization. hospice benefit, but if a donor organ is procured, the patient must be discharged from hospice. However, hospice patients live only 2.5 months, on average, once being provided a six-month prognosis by their . While cancer is still the top terminal illness, the figure has been declining for several years now due to advances in the treatment of the disease. Refer to the Medical Policies page to access the hospice LCD. Hospice is the gold standard method of caring for people at the stage of a terminal illness when no further curative or life-prolonging therapy is available or wished to be pursued by a patient . Author. Treasure Island (FL): StatPearls Publishing; 2022 Jan. 2021 Aug 7. Stroke/Coma. Jon Radulovic Heres how you know. Understanding Palliative Care and Hospice: A Review for Primary Care Providers. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. LCDs provide guidance in determining medical necessity of services. Physician board certification in hospice and palliative medicine. ICD-10-CM Diagnosis Code O34.7. Some treatments for chronic conditions may cause more harm than good during the terminal stages of life. ( b) Annual update of the payment rates. [1][2][3][4], Most of the issues of concern regarding hospice-appropriate diagnoses revolve around gaining and maintaining approval and billing and coding concerns. This site needs JavaScript to work properly. Buss MK, Rock LK, McCarthy EP. 48% of Medicare decedents were enrolled in hospice at the time of their deaths. Unable to load your collection due to an error, Unable to load your delegates due to an error. 1. https:// Contact: %PDF-1.6 % MA enrollees who utilized the hospice benefit rose from 51.1 percent in 2015 to 53.2 percent in 2019. Hospice Webinar Series 2021 Presenter: Sharon M Litwin, RN, BSHS, MHA, HCS-D Hospice Coding Refresher February 5, 2021 Objectives Coding Conventions & Guidelines Hospice Coding Primary Diagnosis/Terminal Illness Hospice Coding Secondary/Comorbid Diagnosis Disease Specific Criteria for Hospice 1 2 Hospice SFP TEP nomination forms must be received by August 12, 2022, to be considered for TEP inclusion. ICD-10-CM Diagnosis Code O35.1. This list is not all inclusive. Inappropriate Primary Diagnosis Codes ICD-10-CM list updated 8/14/2020 Policy Verbiage Update, added the word "Commercial" to header section 3/1/2020 Policy Version Change: An official website of the United States government I. LISTS OF ACCEPTABLE DOCUMENTS All documents must be UNEXPIRED Employees may present one selection from List A or a combination of one selection from List B and one selection from List C. LIST A 2. ( The following 2,553 ICD-10-CM codes are intended for unacceptable principal diagnosis. and Plug-Ins. Palliat Support Care. - The two diagnoses may interact with one another, resulting in higher resource use. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Routine annual rate setting changes resulting in a 3.8% increase in payments for FY 2023, Permanent 5% cap on negative wage index changes, Hospice Quality Reporting Program (HQRP) updates, including the new Hospice Outcomes and Patient Evaluation Tool, the Consumer Assessment of Healthcare Providers and Systems hospice survey, quality measures for FY 2023, and a summary of public comments from the request for information to inform future efforts related to HQRP health equity. This is the American ICD-10-CM version of Z51.5 - other international versions of ICD-10 Z51.5 may differ. National Library of Medicine -, Dolin R, Hanson LC, Rosenblum SF, Stearns SC, Holmes GM, Silberman P. Factors Driving Live Discharge From Hospice: Provider Perspectives. Medical supplies. Kaufman BG, Klemish D, Kassner CT, Reiter JP, Li F, Harker M, O'Brien EC, Taylor DH, Bhavsar NA. MeSH The Nomination Form is available at this link: https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Spotlight. Hospice consists of a medically directed, interdisciplinary team-managed program of services that focuses on the patient and their family. Purpose This rule proposes updates to the hospice wage index, payment rates, and cap amount for Fiscal Year (FY) 2022 as required under section 1814(i) of the Social Security Act (the Act). Routine Home Care accounted for 98.3 percent of days of care provided. government site. endstream endobj startxref means youve safely connected to the .gov website. Teoli D, Bhardwaj A. Hospice Appropriate Diagnoses. Why this is the case will indeed require further research; however, what is known is that, by patients being eligible for months before the referral eventually is made, patients are missing out on the numerous benefits that a comprehensive hospice service can provide to its patient population. Research has shown that hospice does improve the quality of life in patients. 2000 Winter;3(4):441-7. doi: 10.1089/jpm.2000.3.4.441. Wang X, Knight LS, Evans A, Wang J, Smith TJ. Common diagnoses that are unacceptable primary diagnoses for Home Health under PDGM: . Here are four of her biggest recommendations. I13.0 Hypertensive heart and chronic kidney disease with heart failure and stage 1 through stage 4 chronic kidney disease, or unspecified chronic kidney disease. The 2020 ICD-10-CM files below contain information on the ICD-10-CM updates for FY 2020. Contact Us Cancer continues to be the number one diagnosis for hospice patients in the U.S with 36.6 percent in 2014, up 0.01 percent from the previous year. For Immediate Release: October 28, 2021. Research has shown that hospice does improve the quality of life in patients. 1. B95.2 Enterococcus as the cause of diseases . hb``` eap^5 Hospice Care. The following clinical signs often support hospice eligibility in combination with another primary diagnosis. %%EOF The failure to thrive or debility ICD-10 code for hospice is used to determine eligibility. Certain codes require criteria that must be met before request are approved. The primary diagnosis must have one of twelve PDGM classifications according to home health care coding guidelines. To learn more about hospice and care for those coping with serious illness, please visit NHPCOs CaringInfo.org website. Those interested in serving on one of our Board Committees or Advisory Councils should click thru to the committee or council page of interest, linked below, and review the expectations for participation before submitting an application. Information for Hospice Providers . Hospice Eligibility Guidelines by Diagnosis, Malignancy with poor prognosis at diagnosis, Progression to metastatic cancer despite therapy or patient not receiving therapy, Not a candidate for or declines further chemotherapy, Not a candidate for or declines further radiation (Note: some hospices will cover limited radiation therapy to palliate symptoms), Not a candidate for or declines surgery to treat cancer, Need for assistance with at least two activities of daily living (unless cancer with poor prognosis) ADLs are ambulation, dressing, bathing, toileting, transferring, hygiene and feeding, Functional impairment to the point of not being able to work or carry on normal activity (unless cancer with poor prognosis), Poor prognosis supported by presence of comorbid conditions like COPD, CHF, CAD, DM, Parkinsons, stroke, renal failure, liver disease, dementia or AIDS, Maximally treated for heart disease, is not a candidate for further treatment or intervention, or has declined further cardiac interventions. Include a number of symptoms, including nausea and vomiting, dyspnea, persisting cough, fatigue, decreased cognition, diarrhea, and progressive pain, Include a number of clinical signs, including hypotension, edema, ascites, progressive weakness, new altered mental status, among others, Include a number of laboratory findings, including worsening pCO2/pO2/SaO2 values, worsening liver function tests, worsening tumor markers, and volatile sodium and potassium, among others, Chronic obstructive pulmonary disease (COPD), Neurologic disease (cerebrovascular accident, Parkinson disease, multiple sclerosis, amyotrophic lateral sclerosis), Refractory severe autoimmune disease (e.g., lupus or rheumatoid arthritis). list of acceptable hospice diagnosis 2022. ICD-10 Diagnosis G30.9 Alzheimer's Disease G31.01 Pick's Disease G31.1 Senile Degeneration of Brain G31.85 Corticobasal Degeneration . ">HuA@ 8"%As u;#X%#]o c Utilization of the hospice benefit remains slightly higher among individuals enrolled in Medicare Advantage (MA) plans than among traditional Medicare users, while the trendline for hospice usage continues to increase in both groups. Often, these physicians who manage and monitor care during the length of service have additional training beyond residency by completing a dedicated fellowship, thereby earning board certification in the medical subspecialty of hospice and palliative medicine. Value-Based Insurance Design (VBID) Model: Hospice Benefit Component. There should be a frequent re-evaluation of the patients status as appropriate for continued hospice care through the lens of physical, mental, social, and spiritual needs. 50.7 percent of Medicare decedents were enrolled in hospice at the time of death. Respite Care Coinsurance: The patients daily coinsurance amount is 5% of the Medicare payment for a respite care day. Dolin R, Hanson LC, Rosenblum SF, Stearns SC, Holmes GM, Silberman P. Factors Driving Live Discharge From Hospice: Provider Perspectives. However, hospice patients live only 2.5 months, on average, once being provided a six-month prognosis by their primary physician and enrolled. Streptococcus, group B, as the cause of diseases classified elsewhere. Stroke and Coma. Typically, there is an interprofessional team focus led by a physician medical director. We invite you to contact our team of Hospice Physicians with any questions about a patient's eligibility or about hospice care, at (888 . ), which permits others to distribute the work, provided that the article is not altered or used commercially. % PPS <70% 3. The Nomination Form is available at this link: https://www.cms.gov/Medicare/Provider-Enrollment-and-Certification/SurveyCertificationGenInfo/Spotlight, The nomination form and general questions about the Hospice SFP TEP shall be sent to. list of acceptable hospice diagnosis 2020 As the first year of PDGM has unfolded there have been many twists and turns in the new complexity of coding in home care. Your Trusted Business Partner In Home Health and Hospice www.corridorgroup.com 6405 Metcalf Ave, Suite 108 Overland Park, KS 66202 P: 913-362-0600 F: 913-362-5378 As we approach the transition to the PDGM for Medicare patients in January 2020, the home health The patient owes a coinsurance payment when they got it during routine home care or continuous home care. Appropriate documentation is required for these codes. While the assessment of appropriate hospice diagnoses can be confusing for healthcare providers that are not required to stay abreast of the literature constantly, hospice physicians and organizations can offer valuable services to help answer questions and provide guidance. You can decide how often to receive updates. See asummary of key provisions effective October 1, 2022: Recruitment Announcement Technical Expert Panel (TEP) for Hospice Special Focus Program (SFP) Development. ICD-10 diagnosis code(s) You can decide how often to receive updates. For reference, below is an abridged version of the currently outlined assessment criteria for the progression of diseases and non-disease baseline guidelines as obtained from the Centers of Medicare and Medicaid Services: Part 1: Decline in a patient's clinical status guidelines. This statistic lends risk to the common misconception that hospice services hasten death; however, in reality, it points to the issue that patients are often brought onto hospice services later than they were eligible. This level of care includes room and board costs. The https:// ensures that you are connecting to the Bethesda, MD 20894, Web Policies In the new PDGM (Patient Driven Groupings Model) payment model effective 2020, the Primary Dx will be very important in order to determine what payment group your claim will fall under. Category. 2017 May;13(5):e496-e504. The average Lifelong Length of Stay (LLOS) for Medicare patients enrolled in hospice in 2018 was 89.6 days. 1779 0 obj <> endobj The hospice interdisciplinary group establishes the POC together with the attending physician (if any), the patient or representative, and the primary caregiver. ( http://creativecommons.org/licenses/by-nc-nd/4.0/ Epub 2009 Jan 29. Hospice aims to provide comfort and peace to help improve quality of . mozzart jackpot winners yesterday; new mandela effects 2021; how to delete a payee on barclays app The 2020 ICD-10-CM files below contain information on the ICD-10-CM updates for FY 2020. This . CMS establishes payment rates for each of the categories of hospice care described in 418.302 (b). means youve safely connected to the .gov website. Data Show Growing Number of People Choosing Hospice and Decreasing Number of Cancer Diagnoses (Alexandria, Va) - The National Hospice and Palliative Care Organization (NHPCO) today published the 2021 edition of NHPCO Facts and Figures (PDF), a report produced annually to provide an overview of hospice care delivery in the U.S., with specific . The Median Length of Service (MLOS) was . is it okay to take melatonin after covid vaccine. lock In the new PDGM (Patient Driven Groupings Model) payment model effective 2020, the Primary Dx will be very important in order to determine what payment group your claim will fall under. ICD-10-CM official coding and reporting guidelines April 1, 2020 through September 30, 2020. Secure .gov websites use HTTPSA Hospice referrals should balance a physician's experienced clinical judgement, Medicare regulations, and input from the patient and family. Hospice care is a service for people with serious illnesses who choose not to get (or continue) treatment to cure or control their illness. Overall, the hospice organizational agency is responsible for all patients in their care to ensure their satisfaction of eligibility criteria for hospice and that their services are medically necessary. Federal government websites often end in .gov or .mil. J Oncol Pract. Progressive disease leading to worsened Karnofsky Performance Status or Palliative Performance Score.[7]. Permanent Resident Card or Alien Registration Receipt Card (Form I-551) 1. Gaboury shared her insights at the 2019 Illinois HomeCare & Hospice Council (IHHC) leadership conference in Itasca, Illinois earlier this month, highlighting a number of PDGM action items she urged agencies' to prioritize today or regret come PDGM's Jan. 1, 2020, implementation. "Dementia in diseases classified elsewhere without behavioral disturbance," and 294.11/F02.81, "Dementia in diseases classified elsewhere with behavioral disturbance.". -, Wang X, Knight LS, Evans A, Wang J, Smith TJ. Hospice Eligibility Criteria Patient has a terminal illness with a life expectancy of 6 months or less CANCER Pt meets ALL of the following: 1. Often, these physicians who manage and monitor care during the length of service have additional train Overall the process of enrolling patients into hospice and determining hospice-appropriate diagnoses requires critical thinking by the physician, with maintaining a current list of conditions and removing inappropriate history codes when applicable. J Palliat Med. 5. 1. Nearly 43 percent (42.7) of Hispanic Medicare beneficiary decedents and almost 41 percent (40.8) of Black Medicare beneficiary decedents enrolled in hospice in 2019. Patients have to meet all of Medicare's hospice eligibility criteria, which include: 1. or -. CGS has developed a hospice LCD, ID# L34538 titled Hospice Determining Terminal Status, using the National Hospice and Palliative Care Organization's (NHPCO) guidelines. means youve safely connected to the .gov website. An official website of the United States government In 2013, debility and adult failure to thrive were the first and sixth most common hospice claims-reported diagnoses, respectively, accounting for approximately 14 percent of all diagnoses. ICD-10-CM Diagnosis Code O32.4. Hospice Claim Medicaldiagnoses are entered on the hospice claim form: - At admission - As medical diagnoses change or are added/ deleted. 1.43 million Medicare beneficiaries were enrolled in hospice care for one day or more in 2016. In 2002, lung cancer was the top principal diagnosis. 2 or more secondary diagnoses on the HH-specific comorbidity subgroup interaction list that are associated with higher resource use when both are reported together compared to if they were reported separately. 0467469664; admin@thecleanex.com.au; The Cleanex is an NDIS Service Provider - NDIS Provider Number: 4050017476 hbbd```b``>V f[H0 "YH0Vc&"`5`'l; $7M $Rb3X0 l@_H6(CW? 9/ Permanent 5% cap on negative . Jones BW. 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, ICD-10-CM and ICD-10 PCS and GEMs Archive, ICD-10 Coordination and Maintenance Committee Meetings, Process for Requesting New/Revised ICD-10-PCS Procedure Codes, ICD-10 Coordination and Maintenance Committee Meeting Materials, ICD-9-CM Diagnosis and Procedure Codes: Abbreviated and Full Code Titles, Updates and Revisions to ICD-9-CM Procedure Codes (Addendum), 2020 Code Descriptions in Tabular Order (ZIP), UPDATED Coding Guidelines for COVID-19 Effective April 1, 2020, ICD-10-CM Chapter 22 New Vaping Code Index and Tabular. These codes are considered unacceptable as a principal diagnosis.. lock 2020 ICD-10-CM. 107 0 obj <> endobj The .gov means its official. Bookshelf hb```sBB ea -`4 * Specifically, frequently noted areas of concern involve successful utilization of symptom codes, combination codes, and successfully coding diagnoses that are not obviously listed in the manuals. list of acceptable hospice diagnosis 2020 list of acceptable hospice diagnosis 2020 Home Realizacje i porady Bez kategorii list of acceptable hospice diagnosis 2020. Generally, Medicare pays hospice agencies a daily rate for each day a patient is enrolled in the hospice benefit. Alternatively, therapies might fall into the non-palliative category or be futile given the stage of the disease. As with each new set of guidelines, revised standards, or updated ICD codes, there are further changes to the interpretation and guidance of hospice diagnoses and regulations. .gov This document outlines the specifications for reporting diagnosis and procedure codes in T-MSIS claims files. We are looking for thought leaders to contribute content to AAPCs Knowledge Center. Widespread muscle denervation weakness, fasciculations, etc. We made the GEMs files available for FY 2016, FY 2017 and FY 2018. 98% of hospice care was provided at the Routine Home Care level. 0 Buss MK, Rock LK, McCarthy EP. Number of hospice care agencies: 4,700 (2018) Proportion of hospice care agencies with for-profit ownership: 66.4% (2018) Source: Post-acute and Long-term Care Providers and Services Users in the United States, 2017-2018, Appendix III. hbbd```b``"H u&H]`]b f7`L&dH.0 B95.0 Streptococcus, group A, as the cause of diseases classified elsewhere. Services from a hospice-employed physician, nurse practitioner (NP), or other physicians chosen by the patient, Individual and family or just family grief and loss counseling before and after the patients death, Short-term inpatient pain control and symptom management and respite care, The patient gets hospice care in a home setting that isnt an inpatient facility (hospital, SNF, or hospice inpatient unit), The care consists mainly of nursing care on a continuous basis at home. Diagnoses might change and need to be documented, with additions and deletions, as a patient progresses through the terminal stages of their conditions. The coinsurance amount is 5% of the cost of the drug or biological to the hospice, determined by the drug copayment schedule set by the hospice. endstream endobj 1780 0 obj <. list of acceptable hospice diagnosis 2020 frozen the musical packages. Come January 1st, 2020 primary diagnosis codes will be categorized as either "acceptable" or "unacceptable". On Friday, November 5, NHPCO is encouraging all hospice providers and supporters to participate in the annual Social Media Action Day to increase visibility of hospice and palliative care and share the benefits. A. Physiologic impairment of functional status as interpreted via theKarnofsky Performance Status or Palliative Performance Score of less than 70 percent. The objectives of the TEP are to provide input on the SFP algorithm that will be used to identify hospices that have substantially failed to meet applicable Medicare requirements based on identified criteria and measures, to help develop public reporting requirements for the SFP, and to recommend methods to communicate this information to the general public. 50 and 51 - Discharged/Transferred to a Hospice These two patient discharge status codes are used to identify when a patient is discharged or transferred to hospice care. Over the course of 2019, there were 4,840 Medicare certified hospices in operation based on claims data. PMC As a contributor you will produce quality content for the business of healthcare, taking the Knowledge Center forward with your knowhow and expertise. Examining hospice enrollment through a novel lens: Decision time. or An official website of the United States government. Determining Eligibility. 19. Z51.5 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. 8600 Rockville Pike On the contrary, many details need to be considered and meticulously assessed, and documented for a patient to transition into hospice successfully. Heres how you know. Many diagnoses and conditions can impact the care of patients during the last stages of life. All diagnoses code 0651 or 0652. Originally, when the Home Health Groupings Model (HHGM) was first proposed back in July 2017, CMS provided a table of all ICD-10 codes (64,676 in all) and mapped each code to the applicable HHGM clinical category, including the codes indicated as "Questionable . Though cancer still dominates the rankings, new advancements in the treatment of cancer have led to gradual declines in the number of hospice admissions and deaths from this . Treasure Island (FL): StatPearls Publishing; 2022 Jan. Would you like email updates of new search results? Since 2006, the average LOS has begun to decline slightly, dropping to 71 days in 2009, which is a 48% increase from 1998. Predicting Length of Hospice Stay: An Application of Quantile Regression. 161 0 obj <>stream CodeNice. Source: FY 2017 hospice claims data from the CCW, accessed and merged with ICD-10 codes on January 10, 2018. Therefore, diagnoses made in the past that have no bearing on the patients current status or ongoing prognosis (history codes) should be removed per coding guidelines. As a result, the most common hospice claims-reported diagnoses have changed from primarily cancer diagnoses to neurological and organ-based failure diagnoses. Visit the Hospice Benefit Component webpage for more information. CMS now refers to them only as "acceptable" or "unacceptable" codes. Ann Emerg Med. Diagnosis code(s) are required when submitting request for hospice services. Cherlin EJ, Brewster AL, Curry LA, Canavan ME, Hurzeler R, Bradley EH. 51.6 percent of all Medicare decedents were enrolled in hospice at the time of death in 2019. A. As recently as 2007, cancer continued to be the leading principal diagnosis of those receiving care. Unauthorized use of these marks is strictly prohibited.