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HIV - For Physicians

The patient has 1a or 1b, 2 and 3:

1a. CD4 + Count < 25 cells/mm3


1b. Persistent viral load > 100,000 copies/ml from two or more assays at least one month apart


2. At least one of the following conditions:

  • CNS lymphoma
  • Untreated or refractory wasting (loss of > 33% lean body mass)
  • Mycobacterium avium complex (MAC) bacteremia, untreated, refractory or treatment refused
  • Progressive multifocal leukoencephalopathy
  • Systemic lymphoma
  • Refractory visceral Kaposi’s sarcoma
  • Renal failure in the absence of dialysis
  • Refractory cryptosporidium infection
  • Treatment-resistant symptomatic dysrhythmias
  • History of unexpected or cardiac-related syncope
  • CVA secondary to cardiac embolism
  • History of cardiac arrest or resuscitation


3. PPS of < 50% (requires considerable assistance and frequent medical care, activity limited mostly to bed or chair)

Supporting evidence for hospice eligibility:

  • Chronic persistent diarrhea for one year
  • Persistent serum albumin < 2.5
  • Concomitant active substance abuse

In the absence of one or more of the above findings, rapid decline or comorbidities may also support eligibility for hospice care.