TN0656 TREATMENT FOR SICKLE CELL ANEMIA
PREAUTH		CLAIMS
MIN. CLINICAL SYMPTOMS	MIN. REQUIRED	CRITERIA	DETAILS	% BREAKUP AMOUNT - CLAIMS	POINTS AWARDED	SPECIAL MENTION
FATIGUE / LEG ULCERS / ABDOMINAL PAIN / VASCULAR CRISIS	SICKLING TEST / PERIPHERAL SMEAR / CBC	TOTAL BED DAYS		15	5
		BEDS IN ICU			10
		INVESTIGATIONS	USG abdomen /+/- OTHER IMAGINGS	45	5
			RFT / other blood and urine tests - Hb, tc dc esr, urine for rbc, albumin		10
			sickling test		5
			Hb electrophoresis		25
		TREATMENT	blood transfusion	40	15
			chelation therapy / antibiotics / immunization		10	PACKAGE RATE TO BE REVISED
			treatment of sickle cell anemia complications like renal , chest syndrome, eye, cns involvement and / or pain management		15