First, a couple of questions.  Did the resident have a 3 day hospital stay when the peg tube was inserted?  Was he covered then for Medicare?  Is this the first time he was in the hospital 3 days since the peg tube was inserted? 
Does he receive at least 51% of his calories through the tube or at least 26% of his calories and at least 501 cc of fluid through the tube per day?
----- Original Message -----
Sent: Thursday, March 18, 2004 2:39 PM
Subject: peg tube/ spell of illness

We have a resident admitted to the facility for rehab services for reconditioning (following 3 day stay)s/p pneumonia, exacerbation of COPD and cancerous tumors on the face and neck.  He also has a peg tube which was inserted over a year ago. PT and OT are going to drop him soon, speech may carry him a little longer. Can we continue to cover his stay using the peg tube feeding as the skillable service? I know there will be other issues with the cancer that may make him skilled but we are wondering about the peg tube itself. I thought we couldn"t use the peg since it was not the reason he was hospitalized but I can't find my reference.
Thanks, Regina

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