| TN0644 ARDS | ||||||
|---|---|---|---|---|---|---|
| PREAUTH | CLAIMS | |||||
| MIN. CLINICAL SYMPTOMS | MIN. REQUIRED | CRITERIA | DETAILS | % BREAKUP AMOUNT - CLAIMS | POINTS AWARDED | SPECIAL MENTION |
| BREATHLESSNESS / WHEEZE | ABG / CXR / ECHO | TOTAL BED DAYS | 20 | |||
| BEDS IN ICU | ||||||
| DAYS UNDER VENTILATOR SUPPORT | ||||||
| INVESTIGATIONS | general work up | 30 | ||||
| ABG | mandatory | INCLUDING RPT ABG | ||||
| HRCT | ||||||
| CXR / ecg / echo | mandatory | INCLUDES RPT CXR | ||||
| CULTURES - TRACHEAL & BLOOD | mandatory | |||||
| TREATMENT | Antibiotics + nebulisation | 50 | mandatory | |||
| other supportive medicines | ||||||
| mechanical ventillation | mandatory | |||||