TN 0392 SEVERE BRONCHIOLITITS/SEVERE BRONCHOPNEUMONIA/SEVERE ASPIRATION PNEUMONIA (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+-	CLINICAL PHOTO, CBC, CXR	TOTAL BED DAYS	> 5	20
		DAYS IN ICU				discretion of treating doctor
		DAYS UNDER VENTILATOR SUPPORT
		INVESTIGATIONS	GENERAL WORK UP + ECG + ELECTROLYTES	30
			CXR		mandatory
			Rpt CXR
			ABG
			sputum collection c/s
		TREATMENT	SUPPORTIVE CARE	50
			IV ANTIBIOTICS		mandatory
			NEBULISATION/OXYGEN THERAPY		mandatory