| TN0642 COPD WITH RESPIRATORY FAILURE | ||||||
|---|---|---|---|---|---|---|
| PREAUTH | CLAIMS | |||||
| MIN. CLINICAL SYMPTOMS | MIN. REQUIRED | CRITERIA | DETAILS | % BREAKUP AMOUNT - CLAIMS | POINTS AWARDED | SPECIAL MENTION |
| BREATHLESSNESS | CXR / ABG/ PAST RELEVANT MEDICAL HISTORY | TOTAL BED DAYS | 5 to 28 | 20 | ||
| BEDS IN ICU | as per requirement | |||||
| DAYS UNDER VENTILATOR SUPPORT | as per requirement | |||||
| INVESTIGATIONS | General Work UP /ECHO | 30 | ||||
| ABG | mandatory | |||||
| CXR | mandatory | |||||
| SPUTUM CULTURE AND SENSITIVITY | ||||||
| PFT | ||||||
| TREATMENT | antibiotics and supportive med | 50 | mandatory | |||
| mandatory | ||||||
| nebulisation | ||||||