| TN 0408 SNAKE BITE REQUIRING VENTILATOR ASSISTANCE | ||||||
|---|---|---|---|---|---|---|
| PREAUTH | CLAIMS | |||||
| MIN. CLINICAL SYMPTOMS | MIN. REQUIRED | CRITERIA | DETAILS | % breakup amount - claims | WEIGHTAGE(%) IN CLAIMS AMOUNT | SPECIAL MENTION |
| H/O SNAKE BITE, SHOCK, BLEEDING DIATHESES, ARRHYTHMIAS | CLINICAL PHOTO, CBC, CXR, PLATELET COUNT, BT/CT | TOTAL BED DAYS | > 5 | 20 | ||
| DAYS IN ICU | discretion of treating doctor | |||||
| DAYS UNDER VENTILATOR SUPPORT | ||||||
| INVESTIGATIONS | GENERAL WORK UP | 30 | ||||
| COAGULATION PROFILE | mandatory | includes serial measurement | ||||
| ECG + ELECTROLYTES | mandatory | |||||
| ABG | ||||||
| TREATMENT | SUPPORTIVE CARE | 50 | ||||
| ASV | mandatory | |||||
| TREATMENT FOR SHOCK | BLOOD/PRBC TRANSFUSION | |||||
| PLATELET TRANSFUSION | ||||||
| MECHANICAL VENTILLATION | mandatory | |||||