CIRRHOSIS WITH HEPATIC ENCEPHALOPATHY
PREAUTH		CLAIMS
MIN. CLINICAL SYMPTOMS	MIN. REQUIRED	CRITERIA	DETAILS	% breakup amount - claims	POINTS AWARDED	SPECIAL MENTION
ALTERED SENSORIUM WITH HISTORY OF LIVER DISEASE	SERUM AMMONIA / CLINICAL PHOTO/ LIVER FUNCTION TEST/ USG ABDOMEN/ ELECTROLYTES	TOTAL BED DAYS		20
		BEDS IN ICU
		DAYS UNDER VENTILATOR SUPPORT
		INVESTIGATIONS	general work up / serial blood sugar measurements	30	mandatory	including serum ammonia, RFT, HB, ECG, electrolytes
			coagulation profile		mandatory
			EEG
			usg abdomen		mandatory
			CT SCAN BRAIN
		TREATMENT	supportive MEDICINES	50	mandatory	LACTULOSE / HEPA MERZ INFUSION / PRO,PRE BIOTICS / iv FLUIDS
			OTHER LIVER PROTECTIVES