TN0699 NEPHROTIC SYNDROME |
PREAUTH | CLAIMS |
MIN. CLINICAL SYMPTOMS | MIN. REQUIRED | CRITERIA | DETAILS | % breakup amount - claims | POINTS AWARDED | SPECIAL MENTION |
puffiness of face / periorbital area / pedal edema | CLINICAL PHOTO / RFT / USG kub / SERUM PROTEIN LEVELS | TOTAL BED DAYS | | 20 | | |
| | BEDS IN ICU | | | | |
| | DAYS UNDER VENTILATOR SUPPORT | | | | |
| | INVESTIGATIONS | GENERAL WORK UP | 30 | | |
| | | USG Abdomen | | | |
| | | complete urine analysis / serum albumin/ serum cholesterol | | mandatory | |
| | | serological studies | | mandatory | for hepatitis B & C, HIV, ANA, ANCA, complement levels, Lupus anticoagulant anti ds DNAetc.( atleast 4 tests mandatory ) |
| | | OTHER SPECIAL INVESTIGATIONS | | | |
| | TREATMENT | Steroids / immunosupressants | 50 | mandatory | MINIMUM 3 MONTHS TREATMENT NECESSARY |
| | | anticoagulant/ diuretics and other supportive medicines | | | |
| | | ACE inhibitors and Statins | | mandatory | |