| TN 0410 POISON INGESTION/ASPIRATION REQUIRING VENTILATORY ASSISTANCE | ||||||
|---|---|---|---|---|---|---|
| PREAUTH | CLAIMS | |||||
| MIN. CLINICAL SYMPTOMS | MIN. REQUIRED | CRITERIA | DETAILS | % breakup amount - claims | WEIGHTAGE(%) IN CLAIMS AMOUNT | SPECIAL MENTION |
| H/O POISON INGESTION/ASPIRATION | CLINICAL PHOTO, CBC, CXR, BLD SUGAR | TOTAL BED DAYS | > 5 | 20 | ||
| DAYS IN ICU | discretion of treating doctor | |||||
| DAYS UNDER VENTILATOR SUPPORT | ||||||
| INVESTIGATIONS | GENERAL WORK UP | 30 | MANDATORY | |||
| COAGULATION PROFILE | ||||||
| ECG + ELECTROLYTES | MANDATORY | |||||
| ABG | MANDATORY | |||||
| CXR | MANDATORY | |||||
| TREATMENT | SUPPORTIVE CARE | 50 | MANDATORY | |||
| GASTRIC LAVAGE | ||||||
| TREATMENT FOR SHOCK | BLOOD/PRBC/PLATELET TRANSFUSION / ionotropes i.v | |||||
| Antibiotics | ||||||
| MECHANICAL VENTILLATION | MANDATORY | |||||