| TN 0409 SCORPION STING WITH MYOCARDITIS AND CARDIOGENIC SHOCK REQUIRING VENTILATORY ASSISTANCE | ||||||
|---|---|---|---|---|---|---|
| PREAUTH | CLAIMS | |||||
| MIN. CLINICAL SYMPTOMS | MIN. REQUIRED | CRITERIA | DETAILS | % breakup amount - claims | WEIGHTAGE(%) IN CLAIMS AMOUNT | SPECIAL MENTION |
| H/O SCORPION STING, PAIN , SHOCK, ARRHYTHMIAS | CLINICAL PHOTO, CBC, CXR, 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 | ||||||
| ECG + ELECTROLYTES +/_ ABG | MANDATORY | includes RPT ecg's | ||||
| ECHO | MANDATORY | |||||
| TREATMENT | SUPPORTIVE CARE | 50 | ||||
| PRAZOSIN | MANDATORY | |||||
| TREATMENT FOR SHOCK | MANDATORY | |||||
| ANALGESICS | ||||||