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Transcript
Heart Failure Codes ECHO Codes ECG Codes Codes Comments Heart Failure G58 Please utilise this code as a primary code for all patients with various aetiologies of heart failure. Congestive heart Failure Acute Congestive Heart Failure H/O Heart Failure Decompensated Cardiac Failure Compensated Cardiac Failure G580 G5800 14A6 G5802 G5803 Left Ventricular Failure G581 Acute Left Ventricular Failure Acute Heart Failure G5810 G582 Left Ventricular Systolic Dysfunction (LVSD) G5yy9 Recommended secondary code for any patients with left ventricular systolic dysfunction (LVSD). Please note that some cardiomyopathies have LVSD therefore we have promoted the use of this code so that the QOF points for ACE and BB are obtained. Left Ventricular Diastolic Dysfunction (LVDD) G5yyA Patients with diastolic dysfunction have now been addressed in the NICE (2010) guidance and management advice has been provided in the document, therefore they have been read coded appropriately. Impaired Left Ventricular Function 33BA This option should only be used in circumstances where a patient has been admitted with an acute episode of LVF and the cause has now been resolved. We have promoted the use of echocardiocardiography to differentiate between right, left, diastolic and bi-ventricular heart failure so that they can be coded appropriately. 6 month HF primary care review 662p All heart failure patients should have a 6 monthly review in accordance with NICE (2010) guidance. Heart Failure Resolved 21264 Please use this code for all patients who preiously had heart failure, but this has now been resolved i.e. Heart Transplant and devices patients. This code does not remove the patients from the HF1 register, and we recomend that patienst remain on the HF1 register as it is possible that heart failure may return. Echo shows LVSD Echo shows LVDD Echo Echo normal 585f 585g 5853-1 58530 58531 R1320 EMISHGT41 585K 8HQ7 33BD EMISNQDO2 7P0H0 N/A EMISHGT42 32-2 3217 R1431 G562-1 329A G564 3299 Echo abnormal Echo shows Poor LV Function Echo shows Normal LV Referal for ECHO ECHO requested Dobutamine Stress ECHO Transthoracic ECHO TOE (Trans-Oesophageal Echocardiogram) Ejection Fraction ECG ECG abnormal Left Bundle Branch Block ECG shows Left Bundle Branch Block Right Bundle Branch Block ECG shows Right Bundle Branch Block Please ensure that all patients receive the appropriate codes for an echocardiogram. As a minimum this should be coded as normal or abnormal. Cardiomyopathy Codes Valve Codes Co-morbidities NYHA, signs Device & & Transplant Codes symptoms Cardiomyopathy G55 Alcoholic Cardiomyopathy Arrythmogenic Right Ventricular Cardiomyopathy HOCM Aortic Stenosis (alone cause unspecified) Aortic Regurgitation Aortic Regurgitation (rheumatic) MR MR + AR MR + AS MS + AR TR TR + TS Primary Pumonary Hypertension Left Ventricular hypertrophy Accute MI Angina Atrial Fibrillation Paroxysmal Atrial Fibrillation Atrial Flutter AF and Flutter Depression Acute Cor-Pulmonale Chronic Cor-Pulmonale Cardiomegaly CHD Annual Review Attends CHD Monitoring Bi-ventricular Pacemaker in sittu Bi-ventricular Failure Implatation of Internal Cardiac Defibrilator Cardioverter Defibrillator Introduced though the VeinDefibrillator review Implantable cardioverter Heart Transplanted Heart Transplant Failure Rejection NYHA I NYHA II NYHA III NYHA IV Paroxysmal Nocturnal Dyspnoea G555 G599 G551 G5413 G5412-2 G121-2 G540-6 G133-2 G132-3 G131-4 G1404-3 G1405-4 G410 G5y34-1 G30 G33 G5730 G5732 G5731 G573 6896 G400 G41z-1 G5y3 6A2 9Ob0 ZV45M G580-4 79375 793G PCS11793IM1 ZV421 SPO84 662f 662g 662h 662i 1736 Please reserve the use of the cardiomyopathy read codes for those patients that have been diagnosed by a specialist and receive specific treatment. For example those with post partum cardiomyopathy or arrhythmogenic right ventricular cardiomyopathies. For those that have a cardiomyopathy and the left ventricle is affected please ensure their primary code is G58 (Heart Failure), secondary to that G5yy9 (LVSD). This ensures that they are added to the HF1 register. Patients simply coded as G55 cardiomyopathy do not go on the HF1 register. The New York Heart Association (NYHA) functional classification system is a method of assessing how a patient's exercise capacity is limited by their condition. The more severe the symptoms is associated with a worse prognosis. This tool is recommended by the ESC (2008) and should be assessed and documented at each review. Please ensure that this is coded appropriately.
