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Cardiology
MCID
Medical Condition
SOI
Medical Condition/SOI includes
Does not include
Ischemic Heart Disease SOI-1 includes acute coronary SOI-1 does not include chronic myocardial ischemia,
occlusion, intermediate coronary syndrome without chronic coronary insufficiency, chronic total occlusion
myocardial infarction, coronary arteritis, and
of coronary artery, or myocardial infarction.
endarteritis without myocardial infarction.
153 Ischemic heart disease
153 Ischemic heart disease
242 Diabetes with circulatory
1
Ischemic Heart Disease SOI-2 includes chronic
myocardial ischemia and chronic coronary
2 insufficiency.
Diabetes with circulatory SOI-1 includes diabetes
mellitus, including insulin-dependent and non-insulindependent, with any of the following conditions:
Hypertension SOI-1, Ischemic heart disease SOI-1,
Angina pectoris SOI-1, Congestive heart failure SOI-1,
Generalized arteriosclerosis SOI-1, Transient cerebral
ischemia SOI-1, Occlusion of cerebral arteries SOI-1,
and Peripheral vascular disease SOI-1 (see each
circulatory medical condition for definition of SOI-1).
1
Diabetes with circulatory SOI-2 includes diabetes
mellitus, including insulin-dependent and non-insulindependent, with any of the following conditions:
Hypertension SOI-2, Ischemic heart disease SOI-2,
Angina pectoris SOI-2, Congestive heart failure SOI-2,
Generalized arteriosclerosis SOI-2, Transient cerebral
ischemia SOI-2, Occlusion of cerebral arteries SOI-2,
and Peripheral vascular disease SOI-2 (see each
circulatory medical condition for definition of SOI-2).
242 Diabetes with circulatory
Acute myocardial infarction,
160 active
161 Acute myocardial infarction, fup
142 Hypertension
Other supraventricular
145 arrhythmias
144 Ventricular arrhythmias
141 Abnormal heart beat
154 Heart valve disorders
517 Chest pain
150 Conduction disorders
156 Congestive heart failure
157 Cardiomyopathy
256 Disorders of lipid metabolism
SOI-2 does not include chronic total complete
occlusion of coronary artery or active myocardial
infarction.
SOI-1 does not include diabetes mellitus with
circulatory medical conditions of SOI-2 or SOI-3. Does
not include diabetic mellitus patients with other
attributable complications such as renal,
neuropathies, and significant eye conditions.
SOI-2 does not include diabetes mellitus with
circulatory medical conditions of SOI-3. Does not
include diabetic mellitus patients with other
attributable complications such as renal,
neuropathies, and significant eye conditions.
2
Acute myocardial infarction, active SOI-1 includes
infarction of heart, myocardial, and ventricle.
1
Acute myocardial infarction, follow-up SOI-1 includes
1 aftercare for recent acute myocardial.
Hypertension SOI-1 includes essential and secondary
hypertension.
SOI-1 does not include initial infarction of heart,
myocardial, or ventricle.
SOI-1 does not include malignant hypertension,
hypertensive chronic kidney disease, hypertensive
heart disease, or other heart disease.
1
Other supraventricular arrhythmias SOI-1 includes
paroxysmal tachycardia, atrial flutter, and premature
1 atrial beats.
Ventricular Arrhythmias SOI-1 includes ventricular
premature beats, contractions, and systoles.
1
Abnormal heart beat SOI-1 includes palpitations not
otherwise specified and undiagnosed cardiac
murmurs.
1
Heart Valve Disorders SOI-1 includes mitral valve
insufficiency or regurgitation and unspecified valvular
1 disorders.
Chest pain SOI-1 includes symptoms of unspecified
chest pain, symptoms of precordial pain, and
symptom of painful respiration.
1
Conduction disorders SOI-1 includes first degree AV
block, unspecified AV block, and anomalous AV
1 excitation
Congestive Heart Failure SOI-1 includes heart failure,
acute systolic heart failure, and acute diastolic heart
failure.
SOI-1 does not include ischemic heart disease,
congestive heart failure, or myocardial infarction.
SOI-1 does not include ischemic heart disease,
congestive heart failure, or myocardial infarction.
SOI-1 does not include unspecified tachycardia, atrial
fibrillation/flutter, ventricular fibrillation/flutter, or
premature atrial or ventricular contraction.
SOI-1 does not include disorder of the aortic,
pulmonary, or tricuspid valve, pulmonary heart
disease, or aortic aneurysm.
SOI-1 does not include angina, myocardial infarction,
pericarditis, pneumothorax, pleuritis, and significant
musculoskeletal disorders.
SOI-1 does not include second degree AV block,
bundle branch block, and complete AV block.
SOI-1 does not include left ventricular failure, chronic
systolic heart failure, chronic diastolic heart failure,
combined diastolic and systolic heart failure, acute
myocardial infarction, acute edema of lung with heart
disease, acute pulmonary edema with heart disease,
or cardiomyopathy.
1
Cardiomyopathy SOI-1 includes dilated, idiopathic,
constrictive, and non-obstructive cardiomyopathies.
SOI-1 does not include hypertrophic or obstructive
cardiomyopathies.
Disorders of lipid metabolism SOI-1 includes
unspecified lipoproteinemia and hyperlipidemia.
SOI-1 does not include elevated levels of lipid protein
due to inherited metabolic disorders or lysosomal
storage diseases.
1
1
NOTICE: The information contained herein is proprietary, and may not be disclosed to
any third parties except under written agreement from Cave Consulting Group, Inc. September 2013
148 Angina pectoris
152 Rheumatic heart disease
516 Dyspnea
535 Atrial fibrillation
Angina Pectoris SOI-1 includes angina pectoris, angina SOI-1 does not include ischemic heart disease, heart
decubitus, and Prinzmetal angina.
valve disorders, conduction disorders, or
arteriosclerotic heart disease.
1
Rheumatic heart disease SOI-1 includes chronic
SOI-1 does not include rheumatic heart failure,
rheumatic pericarditis and rheumatic heart disease
rheumatic myocarditis, rheumatic endocarditis, and
with singular valve disease.
rheumatic heart disease with multiple valve disease.
1
Dyspnea SOI-1 includes hyperventilation, shortness SOI-1 does not include orthopnea, respiratory
of breath, tachypnea, and wheezing.
infection or disease, cardiac disorder, pneumothorax,
or panic attack.
1
Atrial fibrillation SOI-1 includes atrial fibrillation.
SOI-1 does not include ischemic heart disease,
congestive heart failure, or myocardial infarction.
1
NOTICE: The information contained herein is proprietary, and may not be disclosed to
any third parties except under written agreement from Cave Consulting Group, Inc. September 2013
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