TN0700 RAPIDLY PROGRESSIVE RENAL FAILURE
PREAUTH		CLAIMS
MIN. CLINICAL SYMPTOMS	MIN. REQUIRED	CRITERIA	DETAILS	% breakup amount - claims	POINTS AWARDED	SPECIAL MENTION
Fever / abdominal pain	CLINICAL PHOTO / RFT / USG kub	TOTAL BED DAYS		20
		BEDS IN ICU
		DAYS UNDER VENTILATOR SUPPORT
		INVESTIGATIONS	GENERAL WORK UP	30	mandatory	Serum electrolytes, BUN, creatinine, lactate dehydrogenase (LDH), creatine phosphokinase (CPK), and liver function tests:
			SEROLOGICAL WORK UP		mandatory	ANCA,ANA,complement levels
			Immunoelectrophoresis
		TREATMENT	Steroids / immunosupressants	50	mandatory
			IVIG / PLASMAPHERESIS		seperate package
			mechanical ventillation
			SUPPORTIVE MEDICINES / CARE		mandatory	FLUID/ ELECTROLYTE CORRECTION , ACIDOSIS CORRECTION, ANTIHYPERTENSIVES,
			RENAL BIOPSY
			BIPAP / NIV /