TN0662 INTERSTITIAL LUNG DISEASE | ||||||
---|---|---|---|---|---|---|
PREAUTH | CLAIMS | |||||
MIN. CLINICAL SYMPTOMS | MIN. REQUIRED | CRITERIA | DETAILS | % BREAKUP AMOUNT - CLAIMS | POINTS AWARDED | SPECIAL MENTION |
COUGH, BREATHLESSNESS | CLINICAL PHOTO, CXR, PFT, HRCT | TOTAL BED DAYS | 20 | |||
BEDS IN ICU | ||||||
DAYS UNDER VENTILATOR SUPPORT | INCLUDING NIV | |||||
INVESTIGATIONS | GENERAL WORK UP | 30 | INCLUDES CXR | |||
HRCT | mandatory | |||||
PFT | ||||||
ECG & ECHO | mandatory | |||||
TREATMENT | STEROIDS / IMMUNOSUPPRESION | 50 | mandatory | |||
SUPPORTIVE CARE | OXYGEN / NEBULISATION / ANTIBIOTICS | |||||
NON INVASIVE VENTILLATION | mandatory |