TN0694 PULMONARY EMBOLISM |
PREAUTH | CLAIMS |
MIN. CLINICAL SYMPTOMS | MIN. REQUIRED | CRITERIA | DETAILS | % BREAKUP AMOUNT - CLAIMS | POINTS AWARDED< /th> | SPECIAL MENTION |
Breathlessness + chest pain | ECG / CLINICAL PHOTO / ECHO / D- DIMER | TOTAL BED DAYS | | 20 | | |
| | BEDS IN ICU | | | | |
| | DAYS UNDER VENTILATOR SUPPORT | | | | |
| | INVESTIGATIONS | ECHO | 30 | mandatory | |
| | | ECG Changes + abg | | | |
| | | pulmonary Angiogram +/- CT chest | | mandatory | |
| | | d- dimer | | mandatory | |
| | TREATMENT | heparin infusion | 50 | mandatory | |
| | | | | | |
| | | fibrinolytics | | | |
| | | other supportive medicines | | mandatory | nasal oxygen / NIV / IV fluids / |