TN 0406 DIABETIC KETOACIDOSIS
PREAUTH		CLAIMS
MIN. CLINICAL SYMPTOMS	MIN. REQUIRED	CRITERIA	DETAILS	% breakup amount - claims	WEIGHTAGE(%) IN CLAIMS AMOUNT	SPECIAL MENTION
ALOC, RESP. DISTRESS, SEIZURES, ALTERED BEHAVIOUR, ETC.	CLINICAL PHOTO, CBC, CXR, BLD SUGAR, Previous history of diabetes	TOTAL BED DAYS	> 5	20
		DAYS IN ICU				discretion of treating doctor
		DAYS UNDER VENTILATOR SUPPORT
		INVESTIGATIONS	GENERAL WORK UP + S.ELECTROLYTES + CXR + urine acetone	30
			SERIAL BLOOD SUGAR +ABG		mandatory
			CT BRAIN SOS
			serial electrolyte and blood sugar measurement and urine acetone		mandatory
			investigation to support evidence for sepsis / infection
		TREATMENT	SUPPORTIVE CARE	50	mandatory	includes fluid management and electrolyte management
			INSULIN		mandatory
			ANTIBIOTICS AND OTHER MEDICINES