TN 0415 ACUTE RENAL FAILURE WITH OR WITHOUT DIALYSIS |
PREAUTH | CLAIMS |
MIN. CLINICAL SYMPTOMS | MIN. REQUIRED | CRITERIA | DETAILS | % breakup amount - claims | WEIGHTAGE(%) IN CLAIMS AMOUNT | SPECIAL MENTION |
EDEMA, HYPERTENSION, SEIZURE+-, VOMITTING | CLINICAL PHOTO, CBC, RFT | TOTAL BED DAYS | > 5 | 20 | | |
| | DAYS IN ICU | | | | discretion of treating doctor |
| | DAYS UNDER VENTILATOR SUPPORT | | | | |
| | INVESTIGATIONS | GENERAL WORK UP + RFT + ELECTROLYTE | 30 | MANDATORY | |
| | | CXR | | | |
| | | USG ABDOMEN | | MANDATORY | |
| | | URINE C/S | | | |
| | | other investigation to findout the cause | | | |
| | | B.Sugar | | | |
| | TREATMENT | SUPPORTIVE CARE | 50 | MANDATORY | |
| | | ANTIHYPERTENSIVE | | | |
| | | OTHER MEDICATIONS | | | |
| | | DIALYSIS | | separate package | |
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