Chief Minister's Comprehensive Health Insurance Scheme

BACK

Follow Up Procedure Guidelines - paediatric

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
76 FP0076 : Acute Severe Asthma with (Ventilated) 1,600 800 Previous Discharge Summary Clinical Evaluation, Relevant Investigations, PFT
80 FP0080 : Status Epilepticus 1,600 800 Previous Discharge Summary Clinical Evaluation, EEG, LFT-M, drug Level
81 FP0081 : Intra Cranial bleed 2,000 1,000 Previous Discharge Summary Clinical Evaluation, Investigations On Case To Case Basis
86 FP0086 : Neuro Tuberculosis 2,000 1,500 Previous Discharge Summary Clinical Evaluation, CBC,LFT,CSF Analysis,EEG