TN 0399 MENINGITIS/ ENCEPHALITIS/ STATUS EPILEPTICUS (VENTILATED) |
PREAUTH | CLAIMS |
MIN. CLINICAL SYMPTOMS | MIN. REQUIRED | CRITERIA | DETAILS | % breakup amount - claims | WEIGHTAGE(%) IN CLAIMS AMOUNT | SPECIAL MENTION |
ALOC, FEVER, SEIZURES, RESP DISTRES, STATUS EPILEPTICUS+- | CLINICAL PHOTO, CBC | TOTAL BED DAYS | > 5 | 20 | | |
| | DAYS IN ICU | | | | discretion of treating doctor |
| | DAYS UNDER VENTILATOR SUPPORT | | | | |
| | INVESTIGATIONS | GENERAL WORK UP + CXR + ELECTROLYTES | 30 | | |
| | | CSF ANALYSIS | | MANDATORY | |
| | | CT BRAIN | | MANDATORY | |
| | | BLOOD CULTURE / CSF CULTURES | | MANDATORY | |
| | | ABG | | MANDATORY | |
| | TREATMENT | SUPPORTIVE CARE | 50 | MANDATORY | |
| | | IV ANTIBIOTICS | | MANDATORY | |
| | | ANTIEPILEPTICS | | MANDATORY | |