| TN0643 ACUTE BRONCHITIS/ PNEUMONIA WITH RESPIRATORY FAILURE | ||||||
|---|---|---|---|---|---|---|
| PREAUTH | CLAIMS | |||||
| MIN. CLINICAL SYMPTOMS | MIN. REQUIRED | CRITERIA | DETAILS | % BREAKUP AMOUNT - CLAIMS | POINTS AWARDED | SPECIAL MENTION |
| COUGH / BREATHLESSNESS / FEVER +/- | CXR / ABG | TOTAL BED DAYS | 20 | |||
| BEDS IN ICU | ||||||
| DAYS UNDER VENTILATOR SUPPORT | ||||||
| INVESTIGATIONS | general work up | 30 | ||||
| ABG | mandatory | |||||
| CXR | mandatory | |||||
| RELEVANT CULTURES | mandatory | |||||
| PFT | ||||||
| TREATMENT | antibiotics and supportive med | 50 | mandatory | |||
| nebulisation | mandatory | |||||