TN0894 BUDD-CHIARI SYNDROME
PREAUTH		CLAIMS
MIN. CLINICAL SYMPTOMS	MIN. REQUIRED	CRITERIA	DETAILS	% breakup amount - claims	POINTS AWARDED	SPECIAL MENTION
ABDOMINAL DISTENSION, JAUNDICE, PAIN ABDOMEN	CLINICAL PHOTO, USG REPORT, CT ABDOMEN	TOTAL BED DAYS		20
		DAYS IN ICU
		DAYS UNDER VENTILATOR SUPPORT
		INVESTIGATIONS	GENERAL WORK UP +LFT + RFT	30		MANDATORY
			COAGULATION PROFILE
			Imaging - CT abdomen or MRI			mandatory
			PORTAL VENOUS DOPPLER			mandatory
		TREATMENT	SUPPORTIVE CARE	50
			TIPS / FILTERS			OPP. VENO RADIOLOGIGAL INTERVENTION
			Anticoagulants			mandatory