| TN 0377 INTERSTITIAL LUNG DISEASE |
|---|
| PREAUTH | CLAIMS |
| MIN. CLINICAL SYMPTOMS | MIN. REQUIRED | CRITERIA | DETAILS | % breakup amount - claims | WEIGHTAGE(%) IN CLAIMS AMOUNT | SPECIAL MENTION |
|---|
| RECURRENT RESP. INFECTIONS, NOT GAINING WEIGHT | CLINICAL PHOTO, HRCT | TOTAL BED DAYS | > 5 | 20 | | |
| | | DAYS IN ICU | | | | discretion of treating doctor |
| | | DAYS UNDER VENTILATOR SUPPORT | | | | |
| | | INVESTIGATIONS | GENERAL WORK UP | 30 | | |
| | | | HRCT Lung | | MANDATORY | |
| | | | CXR | | | |
| | | | other relevant tests - to find out cause ., eg serology etc. | | | |
| | | | RPT CXR & PFT | | | |
| | | | ABG | | MANDATORY | |
| | | | COLLAGEN PROFILE | | | |
| | | | PFT | | MANDATORY | |
| | | | RPT ABG | | | |
| | | | BRONCHOSCOPY | | | |
| | | TREATMENT | SUPPORTIVE CARE | 50 | MANDATORY | NEBULISATION & NASAL O2 |
| | | | STEROIDS AND IMMUNOSUPPRESSANTS | | MANDATORY | |
| | | | ANTIBIOTICS | | | |
| | | | CHEST PHYSIOTHERAPY | | | |
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