TN0733 CUSHING'S SYNDROME
PREAUTH		CLAIMS
MIN. CLINICAL SYMPTOMS	MIN. REQUIRED	CRITERIA	DETAILS	% breakup amount - claims	POINTS AWARDED	SPECIAL MENTION
CENTRAL OBESITY, PROXIMAL MUSCLE WEAKNESS, FATIGUE,	CLINICAL PHOTO, SERUM CORTISOL LEVEL	TOTAL BED DAYS		20
		INVESTIGATIONS	GENERAL WORK UP	30	mandatory
			BIOCHEMICAL EVALUATION		mandatory
			CHEST/ ABDOMINAL CT SCAN			TO R/O ECTOPIC ACTH PRODUCTION
			MRI BRAIN - CONTRAST ENHANCED
			INFERIOR PETROSAL SINUS SAMPLING
		TREATMENT	GLUCOCORTICOID REPLACEMENT	50	mandatory
			MIFEPRISTONE