TN 0404 SEVERE PANCREATITIS REQUIRING SURGERY AS AN ADD ON
PREAUTH		CLAIMS
MIN. CLINICAL SYMPTOMS	MIN. REQUIRED	CRITERIA	DETAILS	% breakup amount - claims	WEIGHTAGE(%) IN CLAIMS AMOUNT	SPECIAL MENTION
ACUTE ABDOMEN, JAUNDICE, FEVER	CLINICAL PHOTO, CBC, CXR, LFT, SERUM AMYLASE+LIPASE	TOTAL BED DAYS	> 5	20
		DAYS IN ICU				discretion of treating doctor
		DAYS UNDER VENTILATOR SUPPORT
		INVESTIGATIONS	GENERAL WORK UP + LFT + RFT + S.AMYLASE+LIPASE	30	mandatory
			CXR
			USG ABDOMEN		mandatory
			RPT AMYLASE / LIPASE		mandatory
			CT ABDOMEN
		TREATMENT	SUPPORTIVE CARE	50	mandatory	IV fluids
			IVF, AED, ANTISPASMODICS, PPI and other treatments specific for pancreatitis
			octreotide infusion