TN 0374 INBORN ERRORS OF METABOLISM
(MOST IMPORTANT NEWBORN SCREENING FOR CONG. HYPOTHYROIDISM & CONG. ADRENAL HYPERPLASIA)
PREAUTH		CLAIMS
MIN. CLINICAL SYMPTOMS	MIN. REQUIRED	CRITERIA	DETAILS	% breakup amount - claims	WEIGHTAGE(%) IN CLAIMS AMOUNT	SPECIAL MENTION
FAILURE TO THRIVE, INTOLERANCE TO MILK, ORGANOMEGALY+-, POSITIVE FAMILY HISTORY	CLINICAL PHOTO, CBC, CXR, METABOLIC SCREENING OF URINE, ANTHROPOMETRIC AND GROWTH VELOCITY CHART	TOTAL BED DAYS	> 5	25	15
		DAYS IN ICU			10	discretion of treating doctor
		DAYS UNDER VENTILATOR SUPPORT
		INVESTIGATIONS	GENERAL WORK UP + ELECTROLYTES + CALCIUM + MAGNESIUM + LFT + RFT + AMMONIA + CBC+ S.Lactate	65	15 (MANDATORY)
			CXR, ECG, ECHO		10
			Blood/URINE FOR MET. SCREENING +B.Sugar		30 (MANDATORY)
			Repeat investigations - general work up		5
			17 KETO STEROID LEVELS IN BLOOD		5
			TFT
		TREATMENT	SUPPORTIVE CARE	10	5
			COUNSELLING FOR DIET MODIFICATIONS		5 (MANDATORY)