Patient must have 1 and either 2 or 3.
- CHF with NYHA Class IV symptoms and both:
- Significant symptoms at rest
- Inability to carry out minimal physical activity without angina/dyspnea
- Poor response to optimal treatment with diuretics, vasodilators, and/or angiotensin converting enzyme (ACE) inhibitors or patient refuses treatment.
- The patient has angina pectoris at rest, resistant to standard nitrate therapy, and is either not a candidate for/or declines invasive procedures.
- Echo demonstrating an ejection fraction of 20% or less
- Treatment resistant symptomatic dysrythmias
- History of unexplained or cardiac related syncope
- CVA secondary to cardiac embolism
- History of cardiac arrest or resuscitation
 Refers to the New York Heart Association Functional Classifications
See another guide:
Neurological Diseases (see list below)
ALS (Amyotrophic Lateral Sclerosis)
MS (Multiple Sclerosis)
Pulmonary Disease/COPD (Chronic Obstructive Pulmonary Disease)
Renal (Kidney) Failure
Frequent Co-Morbidity documentation requirements
Cachexia/Protein Calorie Malnutrition (Weight Loss)