TN 0383 GULLAIN BARRE SYNDROME
PREAUTH		CLAIMS
MIN. SYMPTOMS	MIN. REQUIRED	CRITERIA	DETAILS	% breakup amount - claims	WEIGHTAGE(%) IN CLAIMS AMOUNT	SPECIAL MENTION
H/O MINOR RESP. ILLNESS, B/L SYMM. PARALYSIS ASCENDING	CLINICAL PHOTO, CBC, CSF ANALYSIS	TOTAL BED DAYS	> 5	20
		DAYS IN ICU				discretion of treating doctor
		DAYS UNDER VENTILATOR SUPPORT
		INVESTIGATIONS	GENERAL WORK UP	30	MANDATORY	includes Hb, tc, dc, esr, ECG, RFT, Electrolytes
			CSF ANALYISIS			ALBUMINOCYTOLOGICAL DISSOCIATION
			Nerve conduction study		MANDATORY
			other relevant investigation to r/o other causes			NERVE BIOPSY, ETC
		TREATMENT	SUPPORTIVE CARE	50		includes physiotherapy / I.V FLUIDS
			IVIg THERAPY OR PLASMAPHERESIS		MANDATORY	separate package available
			Neurologist opinion and reviews		MANDATORY