| TN0713 NEUROMUSCULAR ( MYASTHENIA GRAVIS ) |
|---|
| PREAUTH | CLAIMS |
| MIN. CLINICAL SYMPTOMS | MIN. REQUIRED | CRITERIA | DETAILS | % breakup amount - claims | POINTS AWARDED | SPECIAL MENTION |
|---|
| WEAKNESS OF ALL 4 LIMBS WITH H/O DIURNAL VARIATION OF WEAKNESS � PTOSIS MORE AT EVENING | CLINICAL PHOTO, NCS - DECREMENTAL RESPONSE TO REPEATED NERVE STIMULATION | TOTAL BED DAYS | | 20 | | |
| | | BEDS IN ICU | | | | |
| | | DAYS UNDER VENTILATOR SUPPORT | | | | |
| | | INVESTIGATIONS | GENERAL WORK UP | 30 | | |
| | | | ELECTRODIAGNOSTIC STUDIES - NCS - REPEATITIVE NERVE CONDUCTION STUDY. | | mandatory | |
| | | | SEROLOGY - AUTO ANTIBODIES \ ( ANTI ACETYLCHOLINE RECEPTOR ANTIBODY ) | | mandatory | |
| | | | CT OR MRI THORAX / CXR | | | |
| | | | | | | |
| | | TREATMENT | ANTICHOLINESTERASE | 50 | mandatory | PHYSOSTIGMINE ETC |
| | | | IVIG / IMMUNOMODULATING THERAPY | | seperate package - madatory | STEROIDS, IMMUNOSUPPRESSIVES |
| | | | SUPPORTIVE CARE | | | |