TN0706 NEUROPATIES ( GBS )
PREAUTH		CLAIMS
MIN. CLINICAL SYMPTOMS	MIN. REQUIRED	CRITERIA	DETAILS	% breakup amount - claims	POINTS AWARDED	SPECIAL MENTION
weakness of all 4 limbs - symmetrically, following constitutional symptoms +/- cranial nerve palsy	clinical photo, nerve conduction studies, general work up	TOTAL BED DAYS		20
		BEDS IN ICU
		DAYS UNDER VENTILATOR SUPPORT
		INVESTIGATIONS	GENERAL WORK UP	30		LFT, CPK, ESR,
			LP AND CSF STUDIES		mandatory
			MRI SPINE TO EXCLUDE MYELOPATHY
			NERVE CONDUCTION STUDIES		mandatory
			OTHER RELEVANT TESTS			THYROID PANEL, VIT B12, IMMUNOELECTROPHORESIS OF SERUM PROTEINS, RHEUMATOLOGY PROFILES, HbA1c, PFT etc. - ANY TWO MANDATORY
		TREATMENT	PLASMAPHERESIS, OR IVIG	50	mandatory
			SUPPORTIVE CARE			INCLUDES LOW MOL. WT. HEPARIN