CIRRHOSIS WITH HEPATO RENAL SYNDROME
PREAUTH		CLAIMS
MIN. CLINICAL SYMPTOMS	MIN. REQUIRED	CRITERIA	DETAILS	% breakup amount - claims	POINTS AWARDED	SPECIAL MENTION
ALTERED SENSORIUM	RENAL FUNCTION TEST / USG ABDOMEN / INTAKE - OUTPUT CHART / LIVER FUNCTION TESTS	TOTAL BED DAYS		20
		BEDS IN ICU
		DAYS UNDER VENTILATOR SUPPORT
		INVESTIGATIONS	general work up	30		INCLUDES URINE SPOT SODIUM, URINE PROTEIN / CREATININE RATIO ETC.
			coagulation profile
			usg abdomen & kub		mandatory
			SERIAL REPEAT RFT		mandatory	INCLUDES URINE SPOT SODIUM, URINE PROTEIN / CREATININE RATIO ETC.
			EXCLUDE OTHER CAUSES OF RENAL FAILURE
			PLASMA AND URINE OSMOLALITY
		TREATMENT	ALBUMIN INFUSION + TERLIPRESSIN INFUSION	50	mandatory
			LIVER PROTECTIVES AND OTHER SUPPORTIVE MEDICINES			LACTULOSE / HEPA MERZ INFUSION / PRO,PRE BIOTICS /
			FLUID MANAGEMENT		mandatory	FROM NEPHROLOGIST