TN 0385 TERM BABY/CULTURE POSITIVE SEPSIS/NON VENTILATED/HYPERBILIRUBINEMIA | ||||||
---|---|---|---|---|---|---|
PREAUTH | CLAIMS | |||||
MIN. CLINICAL SYMPTOMS | MIN. REQUIRED | CRITERIA | DETAILS | % breakup score - claims | WEIGHTAGE(%) IN CLAIMS AMOUNT | SPECIAL MENTION |
LETHARGY, HYPO/HYPERTHERMIA, JAUNDICE+-, SEIZURES+- | CLINICAL PHOTO, CBC, CXR,ANTHROPOMETRICAL DATA | TOTAL BED DAYS | >5 | 20 | ||
DAYS IN ICU | discretion of treating doctor | |||||
DAYS UNDER VENTILATOR SUPPORT | ||||||
INVESTIGATIONS | GENERAL WORK UP + S.BILIRUBIN + CXR | 30 | mandatory | |||
BLOOD +/-other CULTURES | mandatory | |||||
micro ESR | ||||||
TREATMENT | SUPPORTIVE CARE | 50 | mandatory | I.V fluids , nasal oxygen | ||
ANTIBIOTICS | mandatory | |||||
PHOTOTHERAPY SOS | ||||||
EXCHANGE TRANSFUSION SOS | ||||||