| TN0646 ARDS PLUS DIC |
|---|
| PREAUTH | CLAIMS |
| MIN. CLINICAL SYMPTOMS | MIN. REQUIRED | CRITERIA | DETAILS | % BREAKUP AMOUNT - CLAIMS | POINTS AWARDED | SPECIAL MENTION |
|---|
| BREATHLESSNESS / WHEEZE / FEVER / BLEEDING MANIFESTATIONS - HEMATURIA OR ORAL BLEED OR PETECHIE, ECHYMOSIS | ABG / CXR / ECHO / COAGULATION PROFILE | TOTAL BED DAYS | | 20 | | |
| | | BEDS IN ICU | | | | |
| | | DAYS UNDER VENTILATOR SUPPORT | | | | |
| | | INVESTIGATIONS | General Work UP | 30 | | |
| | | | ABG | | | |
| | | | CXR | | | |
| | | | coagulation profile /FDP /Fibrinogen level | | mandatory | |
| | | | HRCT | | | |
| | | | RPT CXR / ABG | | mandatory | |
| | | TREATMENT | FFP / Heparin / blood transfusion / CRYOPRECIPITATE | 50 | mandatory | |
| | | | | | | |
| | | | antibiotics/ supportive meds | | | |
| | | | mechanical ventillation | | mandatory | |