TN0668 MALIGNANT PLEURAL EFFUSION
PREAUTH		CLAIMS
MIN. CLINICAL SYMPTOMS	MIN. REQUIRED	CRITERIA	DETAILS	% BREAKUP AMOUNT - CLAIMS	POINTS AWARDED	SPECIAL MENTION
BREATHLESSNESS, PREVIOUS HISTORY OF PLEURAL EFFUSION IN LAST 6 MONTHS	CLINICAL PHOTO, CXR	TOTAL BED DAYS		20
		BEDS IN ICU
		DAYS UNDER VENTILATOR SUPPORT
		INVESTIGATIONS	GENERAL WORK UP / CXR	30	mandatory
			PLEURAL FLUID ANALYSIS		mandatory
			HRCT LUNG
			PLEURAL BIOPSY & HPE		mandatory
			TO R/O OTHER CAUSES
		TREATMENT	PLEURAL FLUID TAPPING / ASPIRATION	50	mandatory
			SUPPORTIVE CARE /ANTIBIOTICS
			PLEURODESIS		mandatory
			NON INVASIVE VENTILLATION