| TN 0397 FEBRILE SEIZURES (MECHANICALLY VENTILATED) | ||||||
|---|---|---|---|---|---|---|
| PREAUTH | CLAIMS | |||||
| MIN. CLINICAL SYMPTOMS | MIN. REQUIRED | CRITERIA | DETAILS | % breakup amount - claims | WEIGHTAGE(%) IN CLAIMS AMOUNT | SPECIAL MENTION |
| FEVER, SEIZURES, STATUS EPILEPTICUS+-, RESP FAILURE+-. | CLINICAL PHOTO, CBC | TOTAL BED DAYS | > 5 | 20 | ||
| DAYS IN ICU | discretion of treating doctor | |||||
| DAYS UNDER VENTILATOR SUPPORT | ||||||
| INVESTIGATIONS | GENERAL WORK UP + CXR | 30 | MANDATORY | |||
| CT BRAIN SOS | ||||||
| ABG | MANDATORY | |||||
| CSF SOS | ||||||
| TREATMENT | SUPPORTIVE CARE | 50 | MANDATORY | |||
| ANTIEPILEPTICS | ||||||
| MECHANICAL VENTILLATION | MANDATORY | |||||
| Antibiotics | ||||||