TN 0417 PYOGENIC MENINGITIS |
PREAUTH | CLAIMS |
MIN. CLINICAL SYMPTOMS | MIN. REQUIRED | CRITERIA | DETAILS | % breakup amount - claims | WEIGHTAGE(%) IN CLAIMS AMOUNT | SPECIAL MENTION |
FEVER, ALOC, SEIZURES+- | CLINICAL PHOTO, CBC, CSF STUDY | TOTAL BED DAYS | > 5 | 20 | | |
| | DAYS IN ICU | | | | discretion of treating doctor |
| | DAYS UNDER VENTILATOR SUPPORT | | | | |
| | INVESTIGATIONS | GENERAL WORK UP | 30 | MANDATORY | |
| | | CSF STUDY/CULTURE | | MANDATORY | |
| | | BLOOD CULTURE | | | |
| | | CT / MRI BRAIN | | | |
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| | TREATMENT | SUPPORTIVE CARE | 50 | MANDATORY | |
| | | IV ANTIBIOTICS | | MANDATORY | HIGH END ANTIBIOTICS |
| | | AEDS, OTHER MEDICATIONS | | | |
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