| TN 0402 ACUTE PANCREATITIS / ACUTE HEPATITIS |
|---|
| PREAUTH | CLAIMS |
| MIN. CLINICAL SYMPTOMS | MIN. REQUIRED | CRITERIA | DETAILS | % breakup amount - claims | WEIGHTAGE(%) IN CLAIMS AMOUNT | SPECIAL MENTION |
|---|
| FEVER, JAUNDICE, ACUTE ABDOMEN | CLINICAL PHOTO, CBC, CXR | TOTAL BED DAYS | > 5 | 20 | | |
| | | DAYS IN ICU | | | | discretion of treating doctor |
| | | DAYS UNDER VENTILATOR SUPPORT | | | | |
| | | INVESTIGATIONS | GENERAL WORK UP + LFT/AMYLASE + ELECTROLYTES | 30 | MANDATORY | |
| | | | USG ABDOMEN | | MANDATORY | |
| | | | RPT LFT / AMYLASE / LIPASE / electrolytes | | MANDATORY | |
| | | | VIRAL MARKERS | | | |
| | | | CT Abd | | | |
| | | | | | | |
| | | TREATMENT | SUPPORTIVE CARE | 50 | MANDATORY | i.v FLUIDS |
| | | | ANTISPASMODICS, PPI, | | | |
| | | | LIVER PROTECTIVES | | MANDATORY | |