TN 0403 ACUTE HEPATITIS WITH HEPATIC ENCEPHALOPATHY
PREAUTH		CLAIMS
MIN. CLINICAL SYMPTOMS	MIN. REQUIRED	CRITERIA	DETAILS	% breakup amount - claims	WEIGHTAGE(%) IN CLAIMS AMOUNT	SPECIAL MENTION
ALOC, ACUTE ABDOMEN, JAUNDICE, COMA+-	CLINICAL PHOTO, CBC, LFT, ELECTROLYTES	TOTAL BED DAYS	> 5	20
		DAYS IN ICU				discretion of treating doctor
		DAYS UNDER VENTILATOR SUPPORT
		INVESTIGATIONS	GENERAL WORK UP + LFT + + RFT + ammonia level	30	mandatory
			USG ABDOMEN		mandatory
			RPT LFT / AMMONIA		mandatory
			tests to r/o other causes
			EEG
			viral markers
		TREATMENT	SUPPORTIVE CARE	50	mandatory	i.v FLUIDS
			AED, ANTISPASMODICS, PPI
			SILYMARIN +/- other liver supportives		mandatory