TN0709 CHRONIC INFLAMMATORY DEMYELINATING POLYNEUROPATHY
PREAUTH		CLAIMS
MIN. CLINICAL SYMPTOMS	MIN. REQUIRED	CRITERIA	DETAILS	% breakup amount - claims	POINTS AWARDED	SPECIAL MENTION
WEAKNESS OF ALL 4 LIMBS - symmetrically, PERSISTENT FOR MORE THAN 4 WEEKS	CLINICAL PHOTO, NERVE CONDUCTION STUDY	TOTAL BED DAYS		20
		INVESTIGATIONS	GENERAL WORK UP	30	mandatory
			CSF STUDY
			MRI SPINE
			NCS / EMG		mandatory
		TREATMENT	STEROIDS / IMMUNOSUPRESSION	50	mandatory