TN 0395 SEVERE MYOCARDITIS/ CONG. HEART DISEASE WITH INFECTION/ CARDIOGENIC SHOCK/ INFECTIVE ENDOCARDITIS(NON VENTILATED)
PREAUTH		CLAIMS
MIN. CLINICAL SYMPTOMS	MIN. REQUIRED	CRITERIA	DETAILS	% breakup amount - claims	WEIGHTAGE(%) IN CLAIMS AMOUNT	SPECIAL MENTION
RESP. DISTRESS, INTERCOSTAL RECESSION, SUBCOSTAL RECESSION, FEVER+-, COUGH, REFUSAL TO FEED, SEIZURE+-, SIGNS AND SYMPTOMS OF FAILURE	CLINICAL PHOTO, CBC, CXR, ECG	TOTAL BED DAYS	> 5	20
		DAYS IN ICU				discretion of treating doctor
		DAYS UNDER VENTILATOR SUPPORT
		INVESTIGATIONS	GENERAL WORK UP + ECG + ELECTROLYTES + CXR +/_ ABG	30
			2 BLOOD CULTURES		mandatory
			CARDIAC ENZYMES
			ECHO + RPT ECHO		mandatory
		TREATMENT	SUPPORTIVE CARE	50	mandatory
			IV ANTIBIOTICS		mandatory
			ANTIFAILURE TREATMENT