TN0690 ACUTE MI WITH CARDIOGENIC SHOCK | ||||||
---|---|---|---|---|---|---|
PREAUTH | CLAIMS | |||||
MIN. CLINICAL SYMPTOMS | MIN. REQUIRED | CRITERIA | DETAILS | % BREAKUP AMOUNT - CLAIMS | POINTS AWARDED | SPECIAL MENTION |
CHEST PAIN +/_ VOMITING | ECG / CLINICAL PHOTO / ECHO | TOTAL BED DAYS | 20 | |||
BEDS IN ICU | ||||||
DAYS UNDER VENTILATOR SUPPORT | ||||||
INVESTIGATIONS | General Work UP + ECG Changes | 30 | mandatory | |||
Cardiac Enzymes | ||||||
ECHO | mandatory | |||||
TREATMENT | Streptokinase/Urokinase | 50 | mandatory | |||
LMWH & inotropes | mandatory |