TN 0414 RECURRENT URINARY TRACT INFECTION WITH COMPLICATIONS(PYELONEPHRITIS/RENAL FAILURE) |
PREAUTH | CLAIMS |
MIN. CLINICAL SYMPTOMS | MIN. REQUIRED | CRITERIA | DETAILS | % breakup amount - claims | WEIGHTAGE(%) IN CLAIMS AMOUNT | SPECIAL MENTION |
FEVER, FEATURES OF UTI | CLINICAL PHOTO, CBC, URINE ROUTINE | TOTAL BED DAYS | > 5 | 20 | | |
| | DAYS IN ICU | | | | discretion of treating doctor |
| | DAYS UNDER VENTILATOR SUPPORT | | | | |
| | INVESTIGATIONS | GENERAL WORK UP + RFT + ELECTROLYTES | 30 | MANDATORY | |
| | | CXR | | | |
| | | USG ABDOMEN | | MANDATORY | |
| | | OTHER IMAGING | | | |
| | | Urine culture | | MANDATORY | |
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| | TREATMENT | SUPPORTIVE CARE | 50 | MANDATORY | |
| | | IV ANTIBIOTICS | | MANDATORY | |
| | | OTHER MEDICATIONS | | | |
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