TN0692 REFRACTORY CARDIAC FAILURE
PREAUTH		CLAIMS
MIN. CLINICAL SYMPTOMS	MIN. REQUIRED	CRITERIA	DETAILS	% BREAKUP AMOUNT - CLAIMS	POINTS AWARDED	SPECIAL MENTION
BREATHLESSNESS +/- ANASARCA ,EDEMA, PREVIOUS TREATMENT HISTORY FOR CARDIAC FAILURE	XRAY CHEST / ECHO / ECG / CLINICAL PHOTO / PREVIOUS ECHO REPORT	TOTAL BED DAYS		20
		BEDS IN ICU
		DAYS UNDER VENTILATOR SUPPORT				INCLUDES NON INVASIVE VENTILLATION
		INVESTIGATIONS	General Work UP + ECG	30	mandatory
			CXR		mandatory
			ECHO		mandatory
		TREATMENT	digoxin / lasix / aldosterone antagonist	50	mandatory	PACKAGE IS NOT FOR CORRECTABLE CAUSE OF CARDIAC FAILURE
			ionotrophs		mandatory
			IABP / DIALYSIS / SUPPORTIVE THERAPY		SEPERATE PACKAGE