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Follow Up Procedure Guidelines - POLYTRAUMA

SERIAL NUMBER Procedure 1st Qtr Per Qtr (for next 3 Qtrs) Requirements while submitting for follow-up Preauth Requirements while submitting for follow-up Claims
69 FP0069 : Stay in General Ward @ Rs.500day 3,200 1,600 Previous Discharge Summary (Clinical Evaluation of Polytrauma-Mandatory)
70 FP0070 : Stay in Neuro ICU @ Rs.4000day 3,200 1,600 Previous Discharge Summary (Clinical Evaluation, Including detailed Neuorological Evaluation-Mandatory)
71 FP0071 : Surgical Treatment (Up to) 3,200 1,600 Previous Discharge Summary (Clinical Evaluation-Mandatory), Relevant Investigations