Billing and Coding: Hospice The Adult Failure To Thrive Syndrome

Hospices must report a principal hospice diagnosis that is valid under ICD-10-CM Coding Guidelines and consistent with LCD L34558. Unspecified codes for debility, failure to thrive, or dementia, and codes that cannot be used or require special sequencing per ICD-10-CM, are not permitted as the principal hospice diagnosis on hospice claims.

"Use only ICD-10-CM diagnosis codes that are valid to report as a principal diagnosis under ICD-10-CM Coding Guidelines when submitting a hospice principal diagnosis."

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