TN0663 PNEUMOCONIOSIS |
PREAUTH | CLAIMS |
MIN. CLINICAL SYMPTOMS | MIN. REQUIRED | CRITERIA | DETAILS | % BREAKUP AMOUNT - CLAIMS | POINTS AWARDED | SPECIAL MENTION |
COUGH , DYSPNOEA, EXPECTORATION, h/O INDUSTRIAL EXPOSURE | CLINICAL PHOTO, CXR | TOTAL BED DAYS | | 20 | | |
| | BEDS IN ICU | | | | |
| | DAYS UNDER VENTILATOR SUPPORT | | | | NON INVASIVE VENTILLATION |
| | INVESTIGATIONS | GENERAL WORK UP | 30 | | INCLUDES CXR / ECG |
| | | PFT | | mandatory | |
| | | HRCT | | mandatory | |
| | | INVESTIGATIONS TO R/O OTHER CAUSES | | | |
| | TREATMENT | ANTIBIOTICS / | 50 | | |
| | | SUPPORTIVE CARE | | mandatory | nasal oxygen, nebulisation, etc. |
| | | STEROIDS | | mandatory | |