| TN 0411 ACUTE BRONCHO/LOBAR PNEUMONIA WITH EMPYEMA/PLEURAL EFFUSION/PYOPNEUMOTHORAX | ||||||
|---|---|---|---|---|---|---|
| PREAUTH | CLAIMS | |||||
| MIN. CLINICAL SYMPTOMS | MIN. REQUIRED | CRITERIA | DETAILS | % breakup amount - claims | WEIGHTAGE(%) IN CLAIMS AMOUNT | SPECIAL MENTION |
| FEVER, RESP. DISTRESS, ICR/SCR, SEIZURES | CLINICAL PHOTO, CBC, CXR, BLD SUGAR | TOTAL BED DAYS | > 5 | 20 | ||
| DAYS IN ICU | discretion of treating doctor | |||||
| DAYS UNDER VENTILATOR SUPPORT | ||||||
| INVESTIGATIONS | GENERAL WORK UP | 30 | MANDATORY | |||
| USG CHEST | ||||||
| PLEURAL FLUID ANALYSIS | MANDATORY | |||||
| CXR | ||||||
| Blood c/s, Pus c/s | ||||||
| TREATMENT | SUPPORTIVE CARE | 50 | MANDATORY | |||
| IV ANTIBIOTICS | MANDATORY | |||||
| chest physiotherapy | ||||||