Chief Minister's Comprehensive Health Insurance Scheme

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Follow Up Procedure Guidelines - neuro

SERIAL NUMBER Procedure 1st Qtr Per Qtr (for next 3 Qtrs) Requirements while submitting for follow-up Preauth Requirements while submitting for follow-up Claims
78 FP0078 : Meningo-encephalitis (Non Ventilated) 2,000 1,500 Previous Discharge Summary (Clinical Evaluation-Mandatory)/MRI
79 FP0079 : Meningo-encephalitis(Ventilated) 2,000 1,500 Previous Discharge Summary (Clinical Evaluation-Mandatory)
91 FP0091 : ADEM or Relapse in Multiple - sclerosis 2,000 1,000 Previous Discharge Summary (Clinical Evaluation,CBC-Mandatory)
92 FP0092 : CIDP 2,000 1,000 Previous Discharge Summary (Clinical Evaluation,CBC-Mandatory)
94 FP0094 : Ischemic Strokes 2,000 1,000 Previous Discharge Summary (Clinical Evaluation,Extended Neurological Evaluation including Fundus Examination-Mandatory)
93 FP0093 : Haemorrhagic Stroke/Strokes 2,000 1,000 Previous Discharge Summary (Clinical Evaluation,Extended Neurological Evaluation including Fundus Examination-Mandatory)
95 FP0095 : NEUROINFECTIONS - fungal meningitis 2,000 1,000 Previous Discharge Summary (Clinical Evaluation, Lp, Blood Investigations,LFT, Repeat Ct If Required-Mandatory),CSF
96 FP0096 : NEUROINFECTIONS - pyogenic meningitis 2,000 1,000 Previous Discharge Summary (Clinical, Blood Investigations-Mandatory), Repeat Ct If Required,CSF
97 FP0097 : Meningoencephalitis (Including Herpes encephalitis) 2,000 1,000 Previous Discharge Summary (Clinical, Blood Investigations-Mandatory), Repeat Ct If Required,CSF
98 FP0098 : Neuromuscular (myasthenia gravis) 1,600 800 Previous Discharge Summary (Clinical Evaluation-Mandatory),Scale of Myasthenia with EMG