TN0704 KIDNEY BIOPSY
PREAUTH		CLAIMS
MIN. CLINICAL SYMPTOMS	MIN. REQUIRED	CRITERIA	DETAILS	% breakup amount - claims	POINTS AWARDED	SPECIAL MENTION
Fever / abdominal pain	CLINICAL PHOTO / RFT / USG kub / APPROPRIATE INDICATION	TOTAL BED DAYS		15	5
		BEDS IN ICU			10
		DAYS UNDER VENTILATOR SUPPORT	0
		INVESTIGATIONS	GENERAL WORK UP	5	5	Serum electrolytes, BUN, creatinine, lactate dehydrogenase (LDH), creatine phosphokinase (CPK), and liver function tests:
		TREATMENT	KIDNEY BIOPSY PROCEDURE AND HPE REPORT	80	70
			POST BIOPSY CARE		10