TN 0405 ACUTE RENAL FAILURE |
PREAUTH | CLAIMS |
MIN. CLINICAL SYMPTOMS | MIN. REQUIRED | CRITERIA | DETAILS | % breakup amount - claims | WEIGHTAGE(%) IN CLAIMS AMOUNT | SPECIAL MENTION |
EDEMA, HYPERTENSION, VOMITTING | CLINICAL PHOTO, CBC, CXR, RFT | TOTAL BED DAYS | > 5 | 20 | | |
| | DAYS IN ICU | | | | discretion of treating doctor |
| | DAYS UNDER VENTILATOR SUPPORT | | | | |
| | INVESTIGATIONS | GENERAL WORK UP + RFT + ELECTROLYTES+ COMPLET URINE ANALYSIS | 30 | mandatory | |
| | | USG ABDOMEN | | mandatory | |
| | | repeat RFT | | | |
| | | Investigation to determine cause of ARF | | | |
| | | LFT | | | |
| | | X RAY ABD | | mandatory | |
| | TREATMENT | SUPPORTIVE CARE | 50 | mandatory | |
| | | ANTIHYPERTENSIVES, ETC. | | | |
| | | oxygen therapy | | | |
| | | correction of metabolic acidosis | | | |
| | | Nephrologist opinion | | mandatory | |
| | | | | | |