TN0666 LUNG ABSCESS NON RESOLVING
PREAUTH		CLAIMS
MIN. CLINICAL SYMPTOMS	MIN. REQUIRED	CRITERIA	DETAILS	% BREAKUP AMOUNT - CLAIMS	POINTS AWARDED	SPECIAL MENTION
cough with expectoration, fever with or without chills and rigors	CXR, CLINICAL PHOTO,	TOTAL BED DAYS		20
		BEDS IN ICU
		DAYS UNDER VENTILATOR SUPPORT
		INVESTIGATIONS	GENERAL WORK UP / CXR	30	mandatory
			CT SCAN CHEST		mandatory
			SPUTUM CULTURE AND SENSITIVITY / STAINING		mandatory
			OTHER PROCEDURES - PLEURAL ASPIRATION & BRONCHOSCOPY - BRONCHIOALVEOLAR LAVAGE & C/S
		TREATMENT	HIGHER ANTIBIOTICS	50	mandatory
			SUPPORTIVE MEDICINES		mandatory	nasal oxygen, nebulisation, etc.
			PERCUTANEOUS CATHETOR DRAINAGE