| TN0715 TB MENINGITIS | ||||||
|---|---|---|---|---|---|---|
| PREAUTH | CLAIMS | |||||
| MIN. CLINICAL SYMPTOMS | MIN. REQUIRED | CRITERIA | DETAILS | % breakup amount - claims | POINTS AWARDED | SPECIAL MENTION |
| ALTERED SENSORIUM, SEIZURES, | CLINICAL PHOTO, CT SCAN BRAIN, LP - CSF STUDY | TOTAL BED DAYS | 20 | |||
| BEDS IN ICU | ||||||
| INVESTIGATIONS | GENERAL WORK UP | 30 | ||||
| CSF STUDY | mandatory | |||||
| CT SCAN BRAIN ( PLAIN ) | mandatory | |||||
| MRI BRAIN | ||||||
| OTHER RELEVANT INVESTIGATIONS | PCR / MANTOUX | |||||
| TREATMENT | ATT | 50 | mandatory | |||
| SUPPORTIVE CARE | ||||||