List 3 aspects of home parenteral nutrition (HPN) that require specific justification for Medicare coverage.

• A. Calorie prescription outside the range of 20-35 calories per kg per day; Protein prescription outside the range of 0.8-1.5 grams per kg per day; Lipid use greater than 1500 grams per month
• B. Calorie intake consistent with 10-20 calories per kg per day; Vitamin supplementation only; No lipid restriction requirement
• C. Patient age under 18; Use of parenteral nutrition for less than 30 days; No need for caregiver training
• D. Daily weight stabilization alone justifies coverage

Answer: (A)