Medicare Guidelines for Non-Cancer

HIV

  1. CD4 + count < 25

  2. Viral load > 100,000

  3. KPS 50% or less

  4. Co-morbidity factors

  5. The following HIV related opportunistic diseases

      are all associated with prognosis < 6 months

    a.) CNS Lymphoma

    b.) Progressive multifocal leufoencephalopathy

            c.) Cryptosporidiosis

            d.)Wasting (loss of 33% lean body mass)

            e.) MAC bacteremia, untreated

            f.) Visceral Kaposi’s sarcoma, unresponsive to

                  therapy                   

            g.) Renal failure, refuses or fails dialysis

            h.) Advanced AIDS dementia complex

            i.) Toxoplasmosis