TN 0382 END STAGE RENAL DISEASE (PER PATIENT)
PREAUTH		CLAIMS
MIN. SYMPTOMS	MIN. REQUIRED	CRITERIA	DETAILS	% breakup amount - claims	WEIGHTAGE(%) IN CLAIMS AMOUNT	SPECIAL MENTION
SIGNS AND SYMPTOMS OF RENAL FAILURE	CLINICAL PHOTO, CBC, CXR, LFT, RFT	TOTAL BED DAYS	> 5	20
		DAYS IN ICU				discretion of treating doctor
		DAYS UNDER VENTILATOR SUPPORT
		INVESTIGATIONS	GENERAL WORK UP MENTIONED IN PREAUTH	30
			CALCIUM, ALBUMIN
			XRAY TO R/O OSTEODYSTROPHY
			ECHO
			ECG
			USG ABDOMEN		MANDATORY
			RPT RFT		MANDATORY
		TREATMENT	SUPPORTIVE CARE	50	MANDATORY	FLUID MANAGEMENT FROM NEPHROLOGIST / NASAL OXYGEN / RENAL DIET
			HEMO/PERITONEAL DIALYSIS			ATLEAST 3 SESSIONS OF DIALYSIS
			management of anemia
			MANAGEMENT OF HYPERTENSION
			MANAGEMENT OF METABOLIC ACIDOSIS